HCPCS J2865
Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg
Current code27 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) |
|---|---|---|---|
| Highline Medical Center | — | $94.13 – $280 | $308 – $917 |
| Kadlec Regional Medical Center | — | $40.36 – $141 | $57.66 – $202 |
| Mary Bridge Children's Hospital | — | — | $1.03 – $1.52 |
| Olympic Medical Center | — | $92.95 | $116 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $70.66 – $142 | $101 – $203 |
| Providence Centralia Hospital | — | $46.52 – $50.27 | $89.47 – $96.68 |
| Providence Holy Family Hospital | — | $70.66 – $142 | $101 – $203 |
| Providence Mount Carmel Hospital | — | $70.66 – $384 | $101 – $548 |
| Providence Regional Medical Center Everett | — | $52.66 | $101 |
| Providence St Mary Medical Center | — | $30.00 – $78.39 | $42.86 – $112 |
| Providence St Peter Hospital | — | $50.27 – $74.79 | $96.68 – $144 |
| St Anthony Hospital | — | $93.76 – $279 | $308 – $917 |
| St Clare Hospital | — | $88.86 – $264 | $308 – $917 |
| St Elizabeth Hospital | $55.49 – $202 | $109 – $324 | $308 – $917 |
| St Francis Community Hospital | — | $96.74 – $288 | $308 – $917 |
| St Joseph Medical Center | — | $102 – $304 | $308 – $917 |
| St Michael Medical Center | — | $136 – $405 | $308 – $917 |
| Swedish Edmonds Hospital | — | $68.53 | $143 |
| Swedish Issaquah | — | $95.80 | $200 |
| Swedish Medical Center | — | $68.53 – $95.80 | $143 – $200 |
| Swedish Medical Center / Cherry Hill | — | $36.04 – $95.80 | $75.08 – $200 |
| Yakima Valley Memorial | — | — | $1.32 |
Medicare (traditional) reference
CMS publishes no national amount for this code.