Cefoxitin sodium injection, 2 gram IV at BSA Hospital

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION

Amarillo, TX

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Pricing by billing methodology

Price type

How this price compares nationally

BSA Hospital’s median price of $84 is 337% above the median hospital's median price ($19), higher than 90% of the 2,124 hospitals reporting HCPCS J0694. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0694 at BSA Hospital

Negotiated rates from the hospital’s own file: 10 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	Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges	$15	$15	$4	25%	—	$11 – $19
2	Blue Cross Blue Shield bcbs tx medicaid chip [116506] facility · percent of total billed charges · bothfrom % of charges	$15	$15	$4	25%	—	$11 – $19
3	Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges	$62	$62	$16	25%	—	$47 – $78
4	Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges	$62	$62	$16	25%	—	$47 – $78
5	Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges	$62	$62	$16	25%	—	$47 – $78
6	Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges	$62	$62	$16	25%	—	$47 – $78
7	Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges	$62	$62	$16	25%	—	$47 – $78
8	UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges	$62	$62	$16	25%	—	$47 – $78
9	UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges	$62	$62	$16	25%	—	$47 – $78
10	UnitedHealthcare united healthcare core exclusive [206022] facility · percent of total billed charges · bothfrom % of charges	$68	$68	$17	25%	—	$51 – $86
11	UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges	$98	$98	$25	25%	—	$74 – $123
12	UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges	$98	$98	$25	25%	—	$74 – $123
13	Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges	$104	$104	$26	25%	—	$78 – $130
14	Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges	$112	$112	$28	25%	—	$84 – $140
15	Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges	$112	$112	$28	25%	—	$84 – $140
16	Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges	$112	$112	$28	25%	—	$84 – $140
17	Cigna cigna [126008] facility · percent of total billed charges · bothfrom % of charges	$116	$116	$29	25%	1–10	$87 – $145
18	Healthpartners healthpartners [150000] facility · percent of total billed charges · bothfrom % of charges	$116	$116	$29	25%	—	$87 – $145
19	UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges	$116	$116	$29	25%	—	$87 – $145
20	Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges	$120	$120	$30	25%	—	$90 – $150
21	Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges	$120	$120	$30	25%	—	$90 – $150
22	Kaiser kaiser permanete oakland ca [156000] facility · percent of total billed charges · bothfrom % of charges	$136	$136	$34	25%	—	$102 – $170
23	MultiPlan international benefits administrators [168005] facility · percent of total billed charges · bothfrom % of charges	$136	$136	$34	25%	—	$102 – $170

Last updated: Feb 12, 2026

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