HCPCS J0694

Injection, cefoxitin sodium, 1 gm

Current code47 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare (traditional): Traditional Medicare. Applies only to people on original Medicare.

Prices for HCPCS J0694 by hospital
HospitalMedicare (traditional) rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$20.25 – $20.26$50.62 – $50.63
Cascade Medical CenterLeavenworth$39.031 plan$54.00$67.50
Cascade Valley HospitalArlington—$51.84$64.80
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$29.44 – $54.62$73.60 – $137
EvergreenHealth Medical CenterKirkland—$41.60 – $101$52.00 – $126
EvergreenHealth MonroeMonroe—$64.80$81.00
Harborview Medical CenterSeattleFile dated 2026-04-01———
Highline Medical CenterBurienFile dated 2026-02-28—$50.69 – $507$166 – $1,659
Island HospitalAnacortes—$52.00$52.00
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$34.61 – $71.51$49.44 – $102
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$23.80 – $40.74$59.48 – $102
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$12.58 – $35.11$31.45 – $87.77
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$20.24 – $35.08$50.58 – $87.70
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$12.59 – $35.11$31.47 – $87.76
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$22.83 – $54.64$57.07 – $137
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$46.66 – $65.54$58.33 – $81.92
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
PeaceHealth Peace Island Medical CenterFriday Harbor—$118 – $131$181 – $202
PeaceHealth Southwest Medical CenteVancouver—$118 – $131$181 – $202
PeaceHealth St John Medical CenterLongview—$118 – $131$181 – $202
PeaceHealth St Joseph Medical CenterBellingham—$118 – $131$181 – $202
PeaceHealth United General Medical CenterSedro Woolley—$118 – $131$181 – $202
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$70.66 – $299$101 – $427
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$46.70 – $54.34$89.80 – $105
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$70.66 – $299$101 – $427
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$70.66 – $293$101 – $419
Providence Regional Medical Center EverettEverettFile dated 2026-04-01———
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$70.66 – $194$101 – $277
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$30.00 – $107$42.86 – $153
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$49.30 – $162$94.80 – $311
Seattle Children's HospitalSeattle—$89.00$89.00
Skagit Valley HospitalMount Vernon—$51.84$64.80
St Anthony HospitalGig HarborFile dated 2026-02-28—$50.49 – $505$166 – $1,659
St Clare HospitalLakewoodFile dated 2026-02-28—$47.85 – $478$166 – $1,659
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$58.66 – $586$166 – $1,659
St Francis Community HospitalFederal WayFile dated 2026-02-28—$52.10 – $521$166 – $1,659
St Joseph Medical CenterTacomaFile dated 2026-02-28—$54.98 – $550$166 – $1,659
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$73.27 – $732$166 – $1,659
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$36.04 – $74.57$75.08 – $155
Swedish IssaquahIssaquahFile dated 2026-04-01—$36.04 – $74.57$75.08 – $155
Swedish Medical CenterSeattleFile dated 2026-04-01—$36.04 – $74.57$75.08 – $155
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$36.04 – $74.57$75.08 – $155
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$8.86 – $35.12$22.14 – $87.80
University of Washington Medical CtrSeattleFile dated 2026-04-01———
Virginia Mason Medical CenterSeattle—$10.71 – $13.35$21.00 – $26.17
Yakima Valley MemorialYakimaFile dated 2026-08-27—$14.80 – $27.32$36.98 – $68.30

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.