HCPCS J0696
Injection, ceftriaxone sodium, per 250 mg
Current code48 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| BHC Fairfax Hospital | $12.00 – $42.00 | $16.00 – $209 | $16.00 – $209 |
| Capital Medical Center | — | $4.17 – $15.84 | $10.41 – $39.60 |
| Cascade Medical Center | $3.35 – $115 | $4.80 – $110 | $6.00 – $138 |
| Cascade Valley Hospital | $126 – $1,476 | $2.50 – $134 | $3.13 – $168 |
| Deaconess Medical Center | — | $6.54 – $48.92 | $16.34 – $122 |
| EvergreenHealth Medical Center | — | $20.80 – $248 | $26.00 – $310 |
| EvergreenHealth Monroe | — | $20.80 – $426 | $26.00 – $533 |
| Highline Medical Center | — | $50.48 – $6,283 | $165 – $20,575 |
| Island Hospital | $2.60 – $14.95 | $4.00 – $23.00 | $4.00 – $23.00 |
| Kadlec Regional Medical Center | — | $34.61 – $42.13 | $49.44 – $60.19 |
| Mary Bridge Children's Hospital | — | $4.91 – $60.68 | $12.26 – $152 |
| MultiCare Auburn Medical Center | — | $4.17 – $15.86 | $10.41 – $39.63 |
| MultiCare Covington Medical Center | — | $4.20 – $15.60 | $10.48 – $38.99 |
| MultiCare Good Samaritan Hospital | — | $4.17 – $30.84 | $10.41 – $77.10 |
| MultiCare Valley Hospital | — | $6.54 – $24.77 | $16.34 – $61.92 |
| Olympic Medical Center | — | $38.64 – $104 | $48.30 – $130 |
| Overlake Hospital Medical Center & Clinics | — | $4.88 – $61.04 | $1.36 – $122 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $70.66 – $173 | $101 – $247 |
| Providence Centralia Hospital | — | $39.87 – $107 | $76.68 – $205 |
| Providence Holy Family Hospital | — | $70.66 – $173 | $101 – $247 |
| Providence Mount Carmel Hospital | — | $70.66 – $165 | $101 – $235 |
| Providence Regional Medical Center Everett | — | $37.06 – $69.40 | $71.27 – $133 |
| Providence St Joseph Hospital | — | $70.66 – $118 | $101 – $169 |
| Providence St Mary Medical Center | — | $30.00 – $90.85 | $42.86 – $130 |
| Providence St Peter Hospital | — | $39.90 – $99.62 | $76.74 – $192 |
| Seattle Children's Hospital | — | $70.00 – $163 | $70.00 – $163 |
| Skagit Valley Hospital | — | $2.50 – $134 | $3.13 – $168 |
| St Anthony Hospital | — | $50.28 – $6,258 | $165 – $20,575 |
| St Clare Hospital | — | $47.65 – $5,931 | $165 – $20,575 |
| St Elizabeth Hospital | — | $58.42 – $7,271 | $165 – $20,575 |
| St Francis Community Hospital | — | $51.88 – $6,457 | $165 – $20,575 |
| St Joseph Medical Center | — | $54.75 – $6,814 | $165 – $20,575 |
| St Michael Medical Center | — | $72.96 – $9,081 | $165 – $20,575 |
| Swedish Edmonds Hospital | — | $36.04 – $43.24 | $75.08 – $90.09 |
| Swedish Issaquah | — | $36.04 | $75.08 |
| Swedish Medical Center | — | $36.04 – $42.16 | $75.08 – $87.83 |
| Swedish Medical Center / Cherry Hill | — | $36.04 – $42.16 | $75.08 – $87.83 |
| Tacoma General Allenmore Hospital | — | $4.17 – $30.02 | $10.41 – $75.05 |
| Three Rivers Hospital | — | $27.83 – $147 | $27.83 – $147 |
| Virginia Mason Medical Center | — | $1.31 – $21.44 | $1.16 – $42.04 |
| Yakima Valley Memorial | — | $1.75 – $31.02 | $2.36 – $77.55 |
Medicare (traditional) reference
CMS publishes no national amount for this code.