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
Quitman, TX
See all hospitals reporting HCPCS J2865 →Price type
Quitman Hospital, LLC’s median price of $23 is 255% above the median hospital's median price ($6), higher than 61% 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: 9 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 blue cross medicare advantage oos [116005] facility · percent of total billed charges · bothfrom % of charges | $13 | $13 | — | — | — | $13 – $13 |
| 2 | Cigna cigna medicare replacement [126500] facility · percent of total billed charges · bothfrom % of charges | $13 | $13 | — | — | — | $13 – $13 |
| 3 | Humana humana medicare advantage/ppo/gold [152503] facility · percent of total billed charges · bothfrom % of charges | $13 | $13 | — | — | — | $13 – $13 |
| 4 | Medicare medicare part a and b [163500] facility · percent of total billed charges · bothfrom % of charges | $13 | $13 | — | — | — | $13 – $13 |
| 5 | Medicare medicare part a only [163502] facility · percent of total billed charges · bothfrom % of charges | $13 | $13 | — | — | — | $13 – $13 |
| 6 | Medicare medicare part b only [163501] facility · percent of total billed charges · bothfrom % of charges | $13 | $13 | — | — | — | $13 – $13 |
| 7 | WellCare wellcare medicare [377501] facility · percent of total billed charges · bothfrom % of charges | $13 | $13 | — | — | — | $13 – $13 |
| 8 | Aetna aetna coventry medicare replacement [102002] facility · percent of total billed charges · bothfrom % of charges | $13 | $13 | — | — | — | $13 – $13 |
| 9 | UnitedHealthcare uhc medicare advantage [206511] facility · percent of total billed charges · bothfrom % of charges | $13 | $13 | — | — | — | $13 – $13 |
| 10 | Ambetter ambetter [293000] facility · percent of total billed charges · bothfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 11 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $23 | $23 | — | — | — | $23 – $23 |
| 12 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $23 | $23 | — | — | — | $23 – $23 |
| 13 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $23 | $23 | — | — | — | $23 – $23 |
| 14 | UnitedHealthcare uhc medica choice [206030] facility · percent of total billed charges · bothfrom % of charges | $46 | $46 | — | — | — | $46 – $46 |
| 15 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $46 | $46 | — | — | — | $46 – $46 |
| 16 | UnitedHealthcare united healthcare texas exchange plan [206034] facility · percent of total billed charges · bothfrom % of charges | $46 | $46 | — | — | — | $46 – $46 |
Last updated: Feb 12, 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.