HCPCS J0695
Injection, ceftolozane 50 mg and tazobactam 25 mg
Current code44 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 | $119 – $176 | — | — |
| Cascade Valley Hospital | $8.80 – $402 | $259 – $322 | $324 – $402 |
| Deaconess Medical Center | $109 – $115 | $17.97 | $44.91 |
| EvergreenHealth Medical Center | — | $861 | $1,076 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $201 | $658 |
| Island Hospital | $112 – $122 | — | — |
| Kadlec Regional Medical Center | — | $561 | $801 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $113 – $122 | — | — |
| MultiCare Auburn Medical Center | $111 – $120 | $14.85 | $37.12 |
| MultiCare Covington Medical Center | $111 – $120 | — | — |
| MultiCare Good Samaritan Hospital | $113 – $122 | $14.24 – $14.40 | $35.58 – $35.99 |
| MultiCare Valley Hospital | $108 – $115 | — | — |
| Olympic Medical Center | $139 – $153 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $486 | $748 |
| PeaceHealth Southwest Medical Cente | $9.31 | $486 | $748 |
| PeaceHealth St John Medical Center | $6.98 – $9.40 | $486 | $748 |
| PeaceHealth St Joseph Medical Center | $9.40 | $486 | $748 |
| PeaceHealth United General Medical Center | — | $486 | $748 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,403 | $2,005 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $1,403 | $2,005 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | $949 | $1,356 |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | — | $1,183 | $1,183 |
| Skagit Valley Hospital | — | $259 – $322 | $324 – $402 |
| St Anthony Hospital | — | $200 | $658 |
| St Clare Hospital | — | $190 | $658 |
| St Elizabeth Hospital | $112 – $136 | $232 | $658 |
| St Francis Community Hospital | — | $206 | $658 |
| St Joseph Medical Center | — | $218 | $658 |
| St Michael Medical Center | — | $290 | $658 |
| Swedish Edmonds Hospital | — | $447 | $932 |
| Swedish Issaquah | — | $447 | $932 |
| Swedish Medical Center | — | $447 | $932 |
| Swedish Medical Center / Cherry Hill | — | $447 | $932 |
| Tacoma General Allenmore Hospital | $113 – $122 | $14.23 – $17.10 | $35.57 – $42.74 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $7.70 – $14.21 | $15.09 – $27.86 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $108 – $126 | $14.11 | $35.27 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $10.02 (APC 9452)
- Surgery center payment (national)
- $10.02