Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
ceftriaxone per 250 mg
Low
$0
Average
$58
Median
$18
High
$1.7k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
118 hospitals; the 90th percentile is 216.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
277 hospital rates
iThe hospitals that file a Wellmark rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $0 | $0 | — | — | 536 | $0 – $0 |
| 2 | Spencer Municipal Hospital Spencer, IA fee schedule · inpatient | 3 | $216 | $151 | $107 | 71% | 239–257 | $0 – $237 |
| 3 | Lakes Regional Hospital Spirit Lake, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 234 | $0 – $0 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $0 | $0 | $0 | 2% | 185–194 | $0 – $0 |
| 5 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 3 | $216 | $151 | $107 | 71% | 177–222 | $0 – $237 |
| 6 | Sioux Center Health Sioux Center, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 134 | $0 – $0 |
| 7 | Avera Sacred Heart Hospital Yankton, SD outpatient | 1 | $4 | $4 | — | — | 129 | $4 – $4 |
| 8 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $135 | $93 | $63 | 68% | 129 | $4 – $139 |
| 9 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $4 | $4 | — | — | 110 | $4 – $4 |
| 10 | Avera Queen of Peace Mitchell, SD fee schedule · outpatient | 1 | $0 | $0 | — | — | 110 | $0 – $0 |
| 11 | Regional Health Services of Howard County Cresco, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 106 | $0 – $0 |
| 12 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $4 | $4 | — | — | 103 | $4 – $4 |
| 13 | Avera St. Luke's Aberdeen, SD fee schedule · outpatient | 1 | $0 | $0 | — | — | 103 | $0 – $0 |
| 14 | Community Memorial Hospital Redfield, SD outpatient | 1 | $82 | $82 | — | — | 74 | $82 – $82 |
| 15 | Community Memorial Hospital Redfield, SD percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $82 | $1 | 2% | 74 | $80 – $83 |
| 16 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 70 | $0 – $0 |
| 17 | Osceola Regional Health Center Sibley, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 54 | $0 – $0 |
| 18 | Grundy County Memorial Hospital Grundy Center, IA facility · other · outpatient | 2 | $4 | $4 | $0 | 4% | 49 | $4 – $4 |
| 19 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $3 | $3 | — | — | 46 | $3 – $3 |
| 20 | Avera St. Mary's Hospital Pierre, SD fee schedule · outpatient | 1 | $0 | $0 | — | — | 46 | $0 – $0 |
| 21 | Avera Holy Family Hospital Estherville, IA fee schedule · outpatient | 2 | $0 | $0 | — | — | 42 | $0 – $0 |
| 22 | Pella Regional Health Center Pella, IA other · outpatient | 2 | $3 | $3 | $0 | 13% | 42–123 | $3 – $4 |
| 23 | Avera St. Benedicts Parkston, SD outpatient | 1 | $298 | $298 | — | — | 27 | $298 – $298 |
| 24 | Avera St. Benedicts Parkston, SD percent of total billed charges · outpatientfrom % of charges | 1 | $109 | $151 | $101 | 67% | 27 | $11 – $278 |
| 25 | Sanford Sheldon Medical Center Sheldon, IA other · outpatient | 2 | $2 | $2 | — | — | 26–260 | $2 – $2 |
← Payers reporting HCPCS J0696 · Snapshot 20261111T120946Z-9134e7f7