Sulfamethoxazole-trimethoprim 800/160 mg multi-dose vial at Methodist 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.

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

SMX/TMP 2400/480MG MDV

SAN ANTONIO, TX

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How this price compares nationally

Methodist Hospital’s median price of $58 is 807% above the median hospital's median price ($6), higher than 82% of the 1,468 hospitals reporting HCPCS J2865. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J2865 at Methodist Hospital

Negotiated rates from the hospital’s own file: 7 payers, 24 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	UnitedHealthcare allpayerappendix fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	UnitedHealthcare charter fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	UnitedHealthcare nexusaco fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
4	UnitedHealthcare smallgroup fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
5	Cigna newbusinessnetwork fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
6	Cigna hmo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
7	Cigna openaccessplus fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
8	Cigna ppo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
9	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
10	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
11	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
12	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
13	Blue Cross Blue Shield healthselectopenaccess(eposoa) fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
14	Blue Cross Blue Shield ppo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
15	First Health chip percent of total billed charges · outpatientfrom % of charges	$15	$19	$6	31%	—	$14 – $27
16	First Health chipperinate percent of total billed charges · outpatientfrom % of charges	$15	$19	$6	31%	—	$14 – $27
17	First Health mcdstar percent of total billed charges · outpatientfrom % of charges	$15	$19	$6	31%	—	$14 – $27
18	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$32	$39	$12	31%	—	$29 – $56
19	Cigna comm percent of total billed charges · outpatientfrom % of charges	$37	$45	$14	31%	—	$34 – $65
20	Blue Cross Blue Shield trad percent of total billed charges · outpatientfrom % of charges	$38	$46	$14	31%	—	$34 – $66
21	Aetna asa percent of total billed charges · outpatientfrom % of charges	$64	$78	$24	31%	—	$58 – $112
22	MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges	$96	$117	$36	31%	—	$88 – $168
23	MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges	$109	$133	$41	31%	—	$99 – $190
24	Optum mcd percent of total billed charges · outpatientfrom % of charges	$128	$156	$48	31%	—	$117 – $223

Last updated: May 1, 2026

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