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Every billing code / Treatments and drugs / Injections and Infusions (nononcologic)

HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Current code48 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland$6.08 – $14610 plans$16.00 – $209$16.00 – $209
Capital Medical CenterOlympiaFile dated 2026-08-27$7.60 – $33.662 plans$4.17 – $15.84$10.41 – $39.60
Cascade Medical CenterLeavenworth$3.76 – $6.581 plan$4.80 – $8.40$6.00 – $10.50
Cascade Valley HospitalArlington$1.08 – $1,4768 plans$2.50 – $134$3.13 – $168
Deaconess Medical CenterSpokaneFile dated 2026-08-27$6.07 – $89.285 plans$6.54 – $48.92$16.34 – $122
EvergreenHealth Medical CenterKirkland$1.06 – $2887 plans$20.80 – $248$26.00 – $310
EvergreenHealth MonroeMonroe$16.38 – $49612 plans$20.80 – $426$26.00 – $533
Highline Medical CenterBurienFile dated 2026-02-28$71.08 – $18,5185 plans$50.48 – $6,283$165 – $20,575
Island HospitalAnacortes$2.64 – $21.8511 plans$4.00 – $23.00$4.00 – $23.00
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1.35 – $1.712 plans$34.61 – $42.13$49.44 – $60.19
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$1.03 – $1.102 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$7.92 – $1236 plans$4.91 – $60.68$12.26 – $152
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$7.60 – $28.932 plans$4.17 – $15.86$10.41 – $39.63
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$7.65 – $28.472 plans$4.20 – $15.60$10.48 – $38.99
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$7.60 – $56.282 plans$4.17 – $30.84$10.41 – $77.10
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$6.07 – $44.585 plans$6.54 – $24.77$16.34 – $61.92
Olympic Medical CenterPort AngelesFile dated 2026-06-24$26.99 – $1306 plans$38.64 – $104$48.30 – $130
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$4.88 – $61.04$1.36 – $122
PeaceHealth Peace Island Medical CenterFriday Harbor—$9.54 – $164$14.68 – $253
PeaceHealth Southwest Medical CenteVancouver—$113 – $748$174 – $1,150
PeaceHealth St John Medical CenterLongview—$9.54 – $498$14.68 – $767
PeaceHealth St Joseph Medical CenterBellingham—$113 – $161$174 – $248
PeaceHealth United General Medical CenterSedro Woolley—$113 – $150$174 – $230
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$70.66 – $173$101 – $247
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1.23 – $3.204 plans$39.87 – $107$76.68 – $205
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$70.66 – $173$101 – $247
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$70.66 – $165$101 – $235
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$37.06 – $69.40$71.27 – $133
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$70.66 – $118$101 – $169
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$2.821 plan$30.00 – $90.85$42.86 – $130
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1.021 plan$39.90 – $99.62$76.74 – $192
Seattle Children's HospitalSeattle$37.80 – $15698 plans$70.00 – $163$70.00 – $163
Skagit Valley HospitalMount Vernon$1.02 – $159at least 7 plans$2.50 – $134$3.13 – $168
St Anthony HospitalGig HarborFile dated 2026-02-28$82.65 – $15,4313 plans$50.28 – $6,258$165 – $20,575
St Clare HospitalLakewoodFile dated 2026-02-28$82.65 – $15,4313 plans$47.65 – $5,931$165 – $20,575
St Elizabeth HospitalEnumclawFile dated 2026-02-28$55.05 – $18,5186 plans$58.42 – $7,271$165 – $20,575
St Francis Community HospitalFederal WayFile dated 2026-02-28$82.65 – $15,4313 plans$51.88 – $6,457$165 – $20,575
St Joseph Medical CenterTacomaFile dated 2026-02-28$82.65 – $15,4313 plans$54.75 – $6,814$165 – $20,575
St Michael Medical CenterSilverdaleFile dated 2026-02-28$1.18 – $18,5187 plans$72.96 – $9,081$165 – $20,575
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$36.04 – $43.24$75.08 – $90.09
Swedish IssaquahIssaquahFile dated 2026-04-01—$36.04$75.08
Swedish Medical CenterSeattleFile dated 2026-04-01—$36.04 – $42.16$75.08 – $87.83
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$36.04 – $42.16$75.08 – $87.83
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$7.60 – $54.792 plans$4.17 – $30.02$10.41 – $75.05
Three Rivers HospitalBrewster—$27.83 – $147$27.83 – $147
Virginia Mason Medical CenterSeattle$1.03 – $33.639 plans$1.31 – $21.44$1.16 – $42.04
WhidbeyHealth Medical CenterCoupeville—$3.00$3.00
Yakima Valley MemorialYakimaFile dated 2026-08-27$1.04 – $66.467 plans$1.75 – $31.02$2.36 – $77.55

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.