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HCPCS J2865

Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg

Current code27 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)
Highline Medical CenterBurienFile dated 2026-02-28$133 – $8256 plans$94.13 – $280$308 – $917
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$40.36 – $141$57.66 – $202
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1.16 – $1.225 plans—$1.03 – $1.52
Olympic Medical CenterPort AngelesFile dated 2026-06-24$64.95 – $1166 plans$92.95$116
PeaceHealth Peace Island Medical CenterFriday Harbor—$119 – $187$183 – $287
PeaceHealth Southwest Medical CenteVancouver—$119 – $187$183 – $287
PeaceHealth St John Medical CenterLongview—$119 – $187$183 – $287
PeaceHealth St Joseph Medical CenterBellingham—$119 – $187$183 – $287
PeaceHealth United General Medical CenterSedro Woolley$5,2991 plan$119 – $187$183 – $287
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$70.66 – $142$101 – $203
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$46.52 – $50.27$89.47 – $96.68
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$70.66 – $142$101 – $203
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$70.66 – $384$101 – $548
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$52.66$101
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$30.00 – $78.39$42.86 – $112
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$50.27 – $74.79$96.68 – $144
St Anthony HospitalGig HarborFile dated 2026-02-28$170 – $6884 plans$93.76 – $279$308 – $917
St Clare HospitalLakewoodFile dated 2026-02-28$170 – $6884 plans$88.86 – $264$308 – $917
St Elizabeth HospitalEnumclawFile dated 2026-02-28$111 – $8259 plans$109 – $324$308 – $917
St Francis Community HospitalFederal WayFile dated 2026-02-28$170 – $6884 plans$96.74 – $288$308 – $917
St Joseph Medical CenterTacomaFile dated 2026-02-28$170 – $6884 plans$102 – $304$308 – $917
St Michael Medical CenterSilverdaleFile dated 2026-02-28$194 – $82510 plans$136 – $405$308 – $917
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$68.53$143
Swedish IssaquahIssaquahFile dated 2026-04-01—$95.80$200
Swedish Medical CenterSeattleFile dated 2026-04-01—$68.53 – $95.80$143 – $200
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$36.04 – $95.80$75.08 – $200
Yakima Valley MemorialYakimaFile dated 2026-08-27——$1.32

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.