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 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION
Ozark, MO
See all hospitals reporting HCPCS J2865 →Price type
Mercy Hospital Springfield’s median price of $29 is 353% above the median hospital's median price ($6), higher than 66% of the 1,470 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: 11 payers, 21 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 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 2 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 3 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 4 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 5 | Cigna hb sprg cigna hmo facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Cigna hb sprg cigna ppo facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 7 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 8 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 9 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 10 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 11 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 12 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $12 | $12 | — | — | — | $12 – $12 |
| 13 | Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $12 | $12 | — | — | — | $12 – $12 |
| 14 | UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $12 | $12 | — | — | — | $12 – $12 |
| 15 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $23 | $23 | — | — | — | $23 – $23 |
| 16 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $24 | $24 | — | — | — | $24 – $24 |
| 17 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $33 | $33 | — | — | — | $33 – $33 |
| 18 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $40 | $40 | — | — | — | $40 – $40 |
| 19 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $43 | $43 | — | — | — | $43 – $43 |
| 20 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
| 21 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
Last updated: Jun 4, 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.