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
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION
Low
$0
Average
$1.2k
Median
$23
High
$1921.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1632 hospitals; the 90th percentile is 29.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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2,511 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $22 | $29 | $19 | 65% | 116–1,160 | $11 – $122 |
| 2 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $3 | $3 | — | — | 113 | $3 – $3 |
| 3 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 5 | $22 | $23 | $7 | 30% | 112–1,120 | $12 – $46 |
| 4 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $19 | $25 | $15 | 60% | 104–1,040 | $11 – $78 |
| 5 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $1 | 7% | 85 | $15 – $18 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 2 | $7 | $18 | $43 | 236% | 80–800 | $1 – $286 |
| 7 | Virtua_Memorial_Hospital_Inc | Holly, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $104 | $104 | $9 | 9% | 78–780 | $95 – $113 |
| 8 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 3 | $9 | $44 | $61 | 137% | 62–71 | $5 – $169 |
| 9 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 5 | $26 | $27 | $10 | 38% | 56–560 | $12 – $58 |
| 10 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · both | 7 | $7 | $9 | $8 | 94% | 54 | $3 – $33 |
| 11 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $62 | $95 | 154% | 52–520 | $3 – $390 |
| 12 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 2 | $35 | $37 | $14 | 37% | 52–520 | $18 – $75 |
| 13 | WRMC Hospital Operating Corporation North Wilkesboro, NC percent of total billed charges · outpatientfrom % of charges | 4 | $25 | $27 | $8 | 32% | 52–520 | $17 – $54 |
| 14 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $110 | $110 | $15 | 13% | 51–402 | $95 – $125 |
| 15 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $110 | $110 | $15 | 13% | 51–402 | $95 – $125 |
| 16 | St Josephs Hospital Health Center Syracuse, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $9 | $8 | $3 | 32% | 46 | $4 – $10 |
| 17 | University of Arkansas for Medical Sciences Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | 46 | $10 – $10 |
| 18 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · percent of total billed charges · outpatientfrom % of charges | 1 | $201 | $201 | — | — | 46 | $201 – $201 |
| 19 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $32 | $5 | 15% | 45 | $29 – $40 |
| 20 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $100 | $102 | $7 | 7% | 44 | $90 – $111 |
| 21 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 3 | $6 | $16 | $33 | 210% | 40–400 | $2 – $217 |
| 22 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 3 | $11 | $27 | $52 | 192% | 40–400 | $5 – $287 |
| 23 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 3 | $8 | $22 | $48 | 219% | 40–400 | $2 – $318 |
| 24 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $9 | $17 | 191% | 40–400 | $2 – $84 |
| 25 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | 39–390 | $15 – $15 |
← Payers reporting HCPCS J0295 · Snapshot 20261111T120946Z-9134e7f7