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.
Generation details were not recorded for this description.
Original text from hospital filings
SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5 ML IV SOLN
Prices here combine facility and professional fees. See them separately →Experimental
Low
$7
Average
$56
Median
$41
High
$179
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 25 hospitals; the 90th percentile is 6.0× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Rush Medical Foundation Meridian, MS | $57 | $73 | $54 | 75% | — | $19 – $232 |
| 2 | Lafayette General Medical Center Inc Lafayette, LA | $230 | $179 | $129 | 72% | — | $56 – $465 |
| 3 | Ochsner Clinic Foundation Orleans, LA | $31 | $41 | $44 | 108% | — | $5 – $203 |
| 4 | Boone Memorial Hospital Madison, WV | $7 | $7 | $2 | 22% | — | $5 – $9 |
| 5 | Kaplan General Hospital, Inc ST, LA | $71 | $91 | $24 | 26% | — | $70 – $121 |
| 6 | Hospital Service District No. 1 Of The Parish Of St. Charles, State Of Louisiana LULING, LA | $23 | $30 | $12 | 39% | — | $21 – $72 |
| 7 | Ochsner American Legion Hospital, LLC Jennings, LA | $44 | $47 | $12 | 26% | — | $27 – $87 |
| 8 | University Hospital & Clinics, Inc. Lafayette, LA | $93 | $154 | $126 | 82% | — | $15 – $465 |
| 9 | Hawarden Regional Healthcare HARWARDEN, IA | $29 | $29 | — | — | — | $29 – $29 |
| 10 | Rush Medical Foundation Quitman, MS | $45 | $47 | $6 | 12% | — | $43 – $61 |
Ask Claude or any MCP client for HCPCS S0039 pricing at a specific hospital — see how to connect.