INJECTION, SULFAMETHOXAZOLE

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

Injection, sulfamethoxazole and trimethoprim, 10 ml

UnitedHealthcare pricing summary

Low

Average

$34

Median

$18

High

$258

UnitedHealthcare rate distribution

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187 hospital rates

#		Plans
1	ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient	1	$20	$30	$22	72%	—	$10 – $61
2	ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY percent of total billed charges · outpatientfrom % of charges	1	$85	$128	$92	72%	—	$42 – $256
3	AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient	1	$46	$46	—	—	—	$46 – $46
4	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient	2	$17	$17	$0	3%	—	$16 – $17
5	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient	2	$17	$17	$0	3%	—	$16 – $17
6	Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both	2	$13	$13	—	—	—	$13 – $13
7	BRFHH MONROE, LLC Monroe, LA other · outpatient	1	$7	$7	$0	1%	—	$7 – $7
8	BRFHH MONROE, LLC Monroe, LA percent of total billed charges · outpatientfrom % of charges	1	$15	$15	$1	9%	—	$13 – $16
9	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient	2	$17	$17	$0	3%	—	$16 – $17
10	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient	2	$17	$17	$0	3%	—	$16 – $17
11	CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO percent of total billed charges · outpatientfrom % of charges	2	$24	$32	$32	101%	—	$1 – $95
12	CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient	1	$45	$45	—	—	—	$45 – $45
13	CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient	1	$82	$82	—	—	—	$82 – $82
14	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient	1	$50	$50	—	—	—	$50 – $50
15	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient	1	$51	$51	—	—	—	$51 – $51
16	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient	1	$53	$53	—	—	—	$53 – $53
17	Carle BroMenn Medical Center Normal, IL fee schedule · inpatient	1	$13	$13	—	—	—	$13 – $13
18	Carle BroMenn Medical Center Normal, IL fee schedule · outpatient	1	$13	$13	—	—	—	$13 – $13
19	Carle Eureka Hospital Eureka, IL fee schedule · inpatient	1	$13	$13	—	—	—	$13 – $13
20	Carle Eureka Hospital Eureka, IL fee schedule · outpatient	1	$13	$13	—	—	—	$13 – $13
21	Central Iowa Hospital Corporation Des Moines, IA fee schedule · both	2	$13	$13	—	—	—	$13 – $13
22	Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both	2	$13	$13	—	—	—	$13 – $13
23	Cheshire Medical Center Keene, NH professional · fee schedule · outpatient	2	$20	$20	$9	45%	—	$11 – $28
24	Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · inpatientfrom % of charges	2	$74	$74	$3	4%	—	$71 – $77
25	Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges	2	$74	$74	$3	4%	—	$71 – $77

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HCPCS S0039