HCPCS J0694
Injection, cefoxitin sodium, 1 gm
Current code47 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $20.25 – $20.26 | $50.62 – $50.63 |
| Cascade Medical Center | $37.55 – $56.43 | $54.00 | $67.50 |
| Cascade Valley Hospital | $64.80 | $51.84 | $64.80 |
| Deaconess Medical Center | — | $29.44 – $54.62 | $73.60 – $137 |
| EvergreenHealth Medical Center | — | $41.60 – $101 | $52.00 – $126 |
| EvergreenHealth Monroe | — | $64.80 | $81.00 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $50.69 – $507 | $166 – $1,659 |
| Island Hospital | $26.00 | $52.00 | $52.00 |
| Kadlec Regional Medical Center | — | $34.61 – $71.51 | $49.44 – $102 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $23.80 – $40.74 | $59.48 – $102 |
| MultiCare Auburn Medical Center | — | $12.58 – $35.11 | $31.45 – $87.77 |
| MultiCare Covington Medical Center | — | $20.24 – $35.08 | $50.58 – $87.70 |
| MultiCare Good Samaritan Hospital | — | $12.59 – $35.11 | $31.47 – $87.76 |
| MultiCare Valley Hospital | — | $22.83 – $54.64 | $57.07 – $137 |
| Olympic Medical Center | — | $46.66 – $65.54 | $58.33 – $81.92 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $118 – $131 | $181 – $202 |
| PeaceHealth Southwest Medical Cente | — | $118 – $131 | $181 – $202 |
| PeaceHealth St John Medical Center | — | $118 – $131 | $181 – $202 |
| PeaceHealth St Joseph Medical Center | — | $118 – $131 | $181 – $202 |
| PeaceHealth United General Medical Center | — | $118 – $131 | $181 – $202 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $70.66 – $299 | $101 – $427 |
| Providence Centralia Hospital | — | $46.70 – $54.34 | $89.80 – $105 |
| Providence Holy Family Hospital | — | $70.66 – $299 | $101 – $427 |
| Providence Mount Carmel Hospital | — | $70.66 – $293 | $101 – $419 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Joseph Hospital | — | $70.66 – $194 | $101 – $277 |
| Providence St Mary Medical Center | — | $30.00 – $107 | $42.86 – $153 |
| Providence St Peter Hospital | — | $49.30 – $162 | $94.80 – $311 |
| Seattle Children's Hospital | $22.88 – $28.93 | $89.00 | $89.00 |
| Skagit Valley Hospital | — | $51.84 | $64.80 |
| St Anthony Hospital | — | $50.49 – $505 | $166 – $1,659 |
| St Clare Hospital | — | $47.85 – $478 | $166 – $1,659 |
| St Elizabeth Hospital | $28.22 – $344 | $58.66 – $586 | $166 – $1,659 |
| St Francis Community Hospital | — | $52.10 – $521 | $166 – $1,659 |
| St Joseph Medical Center | — | $54.98 – $550 | $166 – $1,659 |
| St Michael Medical Center | — | $73.27 – $732 | $166 – $1,659 |
| Swedish Edmonds Hospital | — | $36.04 – $74.57 | $75.08 – $155 |
| Swedish Issaquah | — | $36.04 – $74.57 | $75.08 – $155 |
| Swedish Medical Center | — | $36.04 – $74.57 | $75.08 – $155 |
| Swedish Medical Center / Cherry Hill | — | $36.04 – $74.57 | $75.08 – $155 |
| Tacoma General Allenmore Hospital | — | $8.86 – $35.12 | $22.14 – $87.80 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $10.71 – $13.35 | $21.00 – $26.17 |
| Yakima Valley Memorial | — | $14.80 – $27.32 | $36.98 – $68.30 |
Medicare (traditional) reference
CMS publishes no national amount for this code.