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
$68
Median
$12
High
$8.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1132 hospitals; the 90th percentile is 30.2× 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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1,519 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 11 | $43 | $51 | $27 | 53% | 7,704–7,722 | $9 – $97 |
| 2 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $7 | $14 | $13 | 97% | 349–412 | $3 – $38 |
| 3 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $9 | $9 | — | — | 227–236 | $9 – $9 |
| 4 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $9 | $40 | $48 | 119% | 168–204 | $3 – $109 |
| 5 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 50 | $6 | $6 | $0 | 5% | 165–228 | $5 – $6 |
| 6 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $53 | $84 | $58 | 69% | 119 | $1 – $167 |
| 7 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $18 | $20 | $8 | 39% | 116–1,160 | $10 – $50 |
| 8 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $16 | $17 | $5 | 31% | 104–1,040 | $10 – $32 |
| 9 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 1 | $34 | $90 | $95 | 105% | 99–117 | $29 – $263 |
| 10 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 2 | $7 | $11 | $11 | 99% | 96–105 | $4 – $36 |
| 11 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 4 | $27 | $29 | $9 | 32% | 78–780 | $16 – $53 |
| 12 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $37 | $37 | $5 | 14% | 68–77 | $33 – $49 |
| 13 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $10 | $10 | $1 | 6% | 64–73 | $10 – $11 |
| 14 | Stony Brook University Hospital Stony Brook, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | 60–87 | $3 – $3 |
| 15 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $41 | $39 | $9 | 24% | 53–62 | $29 – $58 |
| 16 | St Louis Childrens Hospital Saint Louis, MO fee schedule · both | 2 | $17 | $24 | $23 | 95% | 37–118 | $6 – $86 |
| 17 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 6 | $28 | $31 | $9 | 27% | 36–45 | $22 – $48 |
| 18 | Progress West Hospital O'Fallon, MO fee schedule · both | 2 | $7 | $11 | $10 | 98% | 35–53 | $4 – $36 |
| 19 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $20 | $23 | $10 | 43% | 34–340 | $10 – $43 |
| 20 | Northfield Hospital Northfield, MN other · both | 1 | $2 | $2 | — | — | 34 | $2 – $2 |
| 21 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 2 | $2 | $2 | $0 | 15% | 31–40 | $2 – $2 |
| 22 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 6 | $42 | $42 | $3 | 7% | 28–46 | $37 – $47 |
| 23 | Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $102 | $102 | — | — | 28 | $102 – $102 |
| 24 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 2 | $13 | $13 | $0 | 4% | 28 | $12 – $14 |
| 25 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 3 | $52 | $42 | $14 | 33% | 27–36 | $23 – $52 |
← Payers reporting HCPCS J0295 · Snapshot 20261111T120946Z-9134e7f7