Sulfamethoxazole-trimethoprim 800/160 mg multi-dose vial at Carle BroMenn Medical Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION

Normal, IL

See all hospitals reporting HCPCS J2865 →

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How this price compares nationally

Carle BroMenn Medical Center’s median price of $70 is 983% above the median hospital's median price ($6), higher than 87% of the 1,472 hospitals reporting HCPCS J2865. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J2865 at Carle BroMenn Medical Center

Negotiated rates from the hospital’s own file: 6 payers, 11 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	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$56	$45	$16	37%	—	$21 – $57
2	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$56	$45	$16	37%	—	$21 – $57
3	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$56	$45	$16	37%	—	$21 – $57
4	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$56	$45	$16	37%	—	$21 – $57
5	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$172	$137	$50	37%	—	$66 – $174
6	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$173	$138	$51	37%	—	$66 – $174
7	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$174	$138	$51	37%	—	$67 – $175
8	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$174	$138	$51	37%	—	$67 – $175
9	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$185	$148	$54	37%	—	$71 – $187
10	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$185	$148	$54	37%	—	$71 – $187
11	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$210	$167	$62	37%	—	$80 – $212

Last updated: Apr 15, 2026

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