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
sulfamethoxazole-trimethoprim 400-80 mg/5 mL Soln
Ulm, MN
See all hospitals reporting HCPCS J2865 →Price type
Allina Health Systems’s median price of $39 is 512% above the median hospital's median price ($6), higher than 73% of the 1,472 hospitals reporting HCPCS J2865. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 23 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Mn bc pmap (n) facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Bcbs Mn bc premier(n) facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $12 | $13 | $2 | 15% | — | $12 – $16 |
| 7 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $19 | $21 | $3 | 15% | — | $19 – $26 |
| 8 | Medicaid medicaid ma (n) facility · other · outpatient | $26 | $29 | $4 | 15% | — | $26 – $35 |
| 9 | Medica medica medicare (r) facility · fee schedule · outpatient | $27 | $30 | $4 | 15% | — | $26 – $36 |
| 10 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $27 | $30 | $4 | 15% | — | $27 – $36 |
| 11 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $28 | $31 | $5 | 15% | — | $28 – $37 |
| 12 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $37 | $41 | $6 | 15% | — | $36 – $49 |
| 13 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $37 | $41 | $6 | 15% | — | $37 – $50 |
| 14 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $40 | $44 | $7 | 15% | — | $39 – $53 |
| 15 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $40 | $44 | $7 | 15% | — | $40 – $54 |
| 16 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $42 | $47 | $7 | 15% | — | $41 – $56 |
| 17 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $48 | $53 | $8 | 15% | — | $47 – $64 |
| 18 | Cigna hpi cigna (n) facility · other · outpatient | $49 | $54 | $8 | 15% | — | $48 – $66 |
| 19 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $50 | $56 | $8 | 15% | — | $50 – $68 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $50 | $56 | $8 | 15% | — | $50 – $68 |
| 21 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $50 | $56 | $8 | 15% | — | $50 – $68 |
| 22 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $51 | $56 | $8 | 15% | — | $50 – $68 |
| 23 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $51 | $57 | $8 | 15% | — | $51 – $69 |
Last updated: Jun 16, 2026
See Sulfamethoxazole-trimethoprim 800/160 mg multi-dose vial pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.