Sulfamethoxazole-trimethoprim 800/160 mg multi-dose vial at Lee's Summit 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.

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Provider: anthropic
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Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

SMX/TMP 800/160MG MDV

Lee's Summit, MO

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How this price compares nationally

Lee's Summit Medical Center’s median price of $59 is 810% above the median hospital's median price ($6), higher than 82% 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 Lee's Summit Medical Center

Negotiated rates from the hospital’s own file: 5 payers, 16 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 tricare fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	UnitedHealthcare allpayerappendix fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	Aetna familyhealthplanmcd percent of total billed charges · outpatientfrom % of charges	$35	$35	$14	41%	—	$21 – $50
4	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$38	$38	$16	41%	—	$23 – $54
5	Blue Cross Blue Shield freedomnetworkselect percent of total billed charges · outpatientfrom % of charges	$41	$41	$17	41%	—	$24 – $58
6	Aetna Better Health mcd percent of total billed charges · outpatientfrom % of charges	$46	$46	$19	41%	—	$27 – $65
7	Blue Cross Blue Shield blue-care(hmo) percent of total billed charges · outpatientfrom % of charges	$46	$46	$19	41%	—	$27 – $65
8	Blue Cross Blue Shield blueaccess percent of total billed charges · outpatientfrom % of charges	$46	$46	$19	41%	—	$27 – $65
9	Blue Cross Blue Shield preferred-careblue(ppo) percent of total billed charges · outpatientfrom % of charges	$46	$46	$19	41%	—	$27 – $65
10	Blue Cross Blue Shield freedomnetwork percent of total billed charges · outpatientfrom % of charges	$63	$63	$26	41%	—	$37 – $89
11	Blue Cross Blue Shield pc percent of total billed charges · outpatientfrom % of charges	$63	$63	$26	41%	—	$37 – $89
12	Blue Cross Blue Shield participating percent of total billed charges · outpatientfrom % of charges	$66	$66	$27	41%	—	$39 – $93
13	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$66	$66	$27	41%	—	$39 – $93
14	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$69	$69	$28	41%	—	$41 – $97
15	MultiPlan complimentarynetwork percent of total billed charges · outpatientfrom % of charges	$113	$113	$46	41%	—	$67 – $160
16	MultiPlan wcompmissouri percent of total billed charges · outpatientfrom % of charges	$123	$123	$50	41%	—	$72 – $173

Last updated: Mar 1, 2026

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