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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$8.33 – $33.662 plans$4.17 – $15.84$10.41 – $39.60
Cascade Medical CenterLeavenworth$1.38 – $86.43at least 2 plans$4.80 – $110$6.00 – $138
Cascade Valley HospitalArlington$1.08 – $1,4768 plans$2.50 – $134$3.13 – $168
Deaconess Medical CenterSpokaneFile dated 2026-08-27$11.60 – $89.282 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 – $18,5186 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—$34.61 – $42.13$49.44 – $60.19
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$8.02 – $1216 plans$4.91 – $60.68$12.26 – $152
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$6.14 – $28.933 plans$4.17 – $15.86$10.41 – $39.63
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$6.18 – $28.473 plans$4.20 – $15.60$10.48 – $38.99
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$6.14 – $56.283 plans$4.17 – $30.84$10.41 – $77.10
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$11.76 – $44.582 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
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$70.66 – $173$101 – $247
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$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—$30.00 – $90.85$42.86 – $130
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$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 – $1597 plans$2.50 – $134$3.13 – $168
St Anthony HospitalGig HarborFile dated 2026-02-28$90.92 – $15,4314 plans$50.28 – $6,258$165 – $20,575
St Clare HospitalLakewoodFile dated 2026-02-28$90.92 – $15,4314 plans$47.65 – $5,931$165 – $20,575
St Elizabeth HospitalEnumclawFile dated 2026-02-28$59.51 – $18,5189 plans$58.42 – $7,271$165 – $20,575
St Francis Community HospitalFederal WayFile dated 2026-02-28$90.92 – $15,4314 plans$51.88 – $6,457$165 – $20,575
St Joseph Medical CenterTacomaFile dated 2026-02-28$90.92 – $15,4314 plans$54.75 – $6,814$165 – $20,575
St Michael Medical CenterSilverdaleFile dated 2026-02-28$104 – $18,51810 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$6.14 – $54.793 plans$4.17 – $30.02$10.41 – $75.05
Three Rivers HospitalBrewster—$27.83 – $147$27.83 – $147
Virginia Mason Medical CenterSeattle$1.12 – $33.634 plans$1.31 – $21.44$1.16 – $42.04
Yakima Valley MemorialYakimaFile dated 2026-08-27$1.32 – $43.431 plan$1.75 – $31.02$2.36 – $77.55

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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.