HCPCS J0696 at East Adams Rural Hospital

Injection, ceftriaxone sodium, per 250 mg

East Adams Rural Hospital, Ritzville

Description from CMS's HCPCS Level II code file.

What East Adams Rural Hospital publishes for this code: as an outpatient

East Adams Rural Hospital’s prices for HCPCS J0696, as an outpatient
Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$1.91 – $7.684 plans—
Medicare AdvantageInsurer rates$1.75 – $7.593 plans—
Medicaid managed careInsurer rates$1.87 – $7.473 plans—
Other government programInsurer rates$1.99 – $7.591 plan—
UnknownInsurer rates$2.02 – $7.684 plans—
Cash pricePaying yourself, without insurance$1.68 – $6.40—
List priceBefore any discount; few people pay it$2.24 – $8.53—

Lowest and highest amounts East Adams Rural Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2025-08-30. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS J0696 at East Adams Rural Hospital
BillWhat it’s forOriginal Medicare allowsPrivate plan estimate
Hospital's feeThe hospitalThe drug, per billing unit—The price above

Drug prices are per billing unit (the unit is in the code's name, such as "per 10 mg"). Your dose decides how many units you're billed, so the total depends on your prescription, and giving the drug may be billed separately.

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS J0696 at every Washington hospital, with Medicare’s reference amounts.