HCPCS S0039
Injection, sulfamethoxazole and trimethoprim, 10 ml
Retired code13 hospitals with prices
This code is retired. Some hospitals still list it.
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Kadlec Regional Medical Center | $15.88 | — | — |
| Overlake Hospital Medical Center & Clinics | $23.79 – $25.32 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $13.79 – $25.58 | — | — |
| Providence Centralia Hospital | $32.23 | — | — |
| Providence Holy Family Hospital | $13.79 – $25.58 | — | — |
| Providence Regional Medical Center Everett | $13.79 – $25.58 | — | — |
| Providence St Mary Medical Center | $25.58 | — | — |
| Providence St Peter Hospital | $26.60 | — | — |
| Swedish Edmonds Hospital | $13.79 | — | — |
| Swedish Issaquah | $13.79 | — | — |
| Swedish Medical Center | $13.79 | — | — |
| Swedish Medical Center / Cherry Hill | $13.79 | — | — |
| Virginia Mason Medical Center | $39.98 – $45.37 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.