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

HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Current code59 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

HospitalOther government program rates (lowest – highest)Cash priceList price (before discounts)
Arbor Health Morton HospitalMortonFile dated 2026-05-18—$5.74 – $60.61$9.25 – $97.76
BHC Fairfax HospitalKirkland—$16.00 – $209$16.00 – $209
Capital Medical CenterOlympiaFile dated 2026-08-27—$4.17 – $15.84$10.41 – $39.60
Cascade Medical CenterLeavenworth$5.35 – $9.371 plan$4.80 – $8.40$6.00 – $10.50
Cascade Valley HospitalArlington—$2.50 – $134$3.13 – $168
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$6.54 – $48.92$16.34 – $122
East Adams Rural HospitalRitzvilleFile dated 2025-08-30$1.99 – $7.591 plan$1.68 – $6.40$2.24 – $8.53
EvergreenHealth Medical CenterKirkland—$20.80 – $248$26.00 – $310
EvergreenHealth MonroeMonroe—$20.80 – $426$26.00 – $533
Forks Community HospitalForksFile dated 2026-10-27$5.59 – $19.802 plans$12.08 – $35.20$15.10 – $44.00
Garfield County Public Hospital District #1PomeroyFile dated 2026-09-02—$5.53 – $16.15$6.50 – $19.00
Grays Harbor Community HospitalAberdeen—$5.20 – $166$8.00 – $255
Highline Medical CenterBurienFile dated 2026-02-28—$50.48 – $6,283$165 – $20,575
Island HospitalAnacortes$1.80 – $22.773 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
Kittitas Valley Community HospitalEllensburgFile dated 2026-10-07—$18.06 – $466$21.25 – $548
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$1.49 – $16.90$2.29 – $26.00
Lincoln HospitalDavenportFile dated 2026-09-14$21.54 – $28.363 plans$34.62 – $45.59$38.47 – $50.65
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$4.91 – $60.68$12.26 – $152
Mason General Hospital & Family of ClinicsShelton—$23.18 – $108$30.90 – $144
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$4.17 – $15.86$10.41 – $39.63
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$4.20 – $15.60$10.48 – $38.99
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$4.17 – $30.84$10.41 – $77.10
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$6.54 – $24.77$16.34 – $61.92
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$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 – $748$14.68 – $1,150
PeaceHealth St Joseph Medical CenterBellingham—$113 – $273$174 – $421
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—$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
Quincy Valley Medical CenterQuincyFile dated 2026-05-27—$11.66 – $34.87$11.66 – $34.87
Seattle Children's HospitalSeattle$28.70 – $66.671 plan$70.00 – $163$70.00 – $163
Skagit Valley HospitalMount Vernon—$2.50 – $134$3.13 – $168
Skyline HospitalWhite SalmonFile dated 2026-08-21$3.60 – $3341 plan$3.60 – $334$5.00 – $464
St Anthony HospitalGig HarborFile dated 2026-02-28—$50.28 – $6,258$165 – $20,575
St Clare HospitalLakewoodFile dated 2026-02-28—$47.65 – $5,931$165 – $20,575
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$58.42 – $7,271$165 – $20,575
St Francis Community HospitalFederal WayFile dated 2026-02-28—$51.88 – $6,457$165 – $20,575
St Joseph Medical CenterTacomaFile dated 2026-02-28—$54.75 – $6,814$165 – $20,575
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$72.96 – $9,081$165 – $20,575
Summit Pacific Medical CenterElmaFile dated 2026-08-31$8.00 – $13.351 plan$17.28 – $28.83$32.00 – $53.39
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—$4.17 – $30.02$10.41 – $75.05
Three Rivers HospitalBrewster—$27.83 – $147$27.83 – $147
Virginia Mason Medical CenterSeattle—$1.31 – $21.44$1.16 – $42.04
WhidbeyHealth Medical CenterCoupeville—$3.00 – $39.37$3.00 – $39.37
Yakima Valley MemorialYakimaFile dated 2026-08-27—$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.