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
$1.7k
Median
$20
High
$2550.1k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1508 hospitals; the 90th percentile is 41.2× 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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2,164 hospital rates
iThe hospitals that file a Cigna 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 | 4 | $47 | $62 | $25 | 40% | 450 | $41 – $100 |
| 2 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN percent of total billed charges · bothfrom % of charges | 3 | $24 | $37 | $29 | 78% | 115–124 | $15 – $114 |
| 3 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 4 | $31 | $30 | $10 | 34% | 112–1,120 | $18 – $60 |
| 4 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $31 | $5 | 15% | 81–90 | $28 – $39 |
| 5 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $13 | $13 | $3 | 20% | 71 | $10 – $15 |
| 6 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $19 | $25 | $15 | 61% | 58–580 | $9 – $86 |
| 7 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $31 | $5 | 15% | 54–63 | $28 – $39 |
| 8 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 3 | $34 | $38 | $11 | 30% | 52–520 | $24 – $66 |
| 9 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $17 | $21 | $12 | 55% | 52–520 | $9 – $55 |
| 10 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $35 | $62 | $68 | 110% | 44 | $17 – $218 |
| 11 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | 34 | $11 – $11 |
| 12 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN percent of total billed charges · bothfrom % of charges | 1 | $22 | $24 | $7 | 30% | 30–39 | $15 – $40 |
| 13 | ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND Sugar Land, TX fee schedule · outpatient | 4 | $6 | $23 | $21 | 93% | 30–300 | $6 – $81 |
| 14 | ST. LUKE'S COMMUNITY HEALTH SERVICES The Woodlands, TX fee schedule · outpatient | 4 | $6 | $23 | $21 | 93% | 30–300 | $6 – $81 |
| 15 | ST. LUKE'S COMMUNITY HEALTH SERVICES Spring, TX fee schedule · outpatient | 4 | $6 | $23 | $21 | 93% | 30–300 | $6 – $81 |
| 16 | ST. LUKES HOSPITAL AT THE VINTAGE Houston, TX fee schedule · outpatient | 4 | $6 | $23 | $21 | 93% | 30–300 | $6 – $81 |
| 17 | The Outer Banks Hospital, Inc. Nags Head, NC percent of total billed charges · bothfrom % of charges | 8 | $47 | $49 | $9 | 18% | 30 | $37 – $59 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · inpatient | 1 | $5 | $5 | — | — | 27–270 | $5 – $5 |
| 19 | Norton Hospitals INC Louisville, KY other · inpatient | 1 | $19 | $19 | — | — | 27–270 | $19 – $19 |
| 20 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 4 | $6 | $23 | $21 | 93% | 26 | $6 – $81 |
| 21 | 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 | $99 | $99 | — | — | 26 | $99 – $99 |
| 22 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $33 | $33 | $2 | 7% | 24 | $30 – $37 |
| 23 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 22 | $4 | $4 | — | — | 24–33 | $4 – $4 |
| 24 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $83 | $81 | $3 | 4% | 20 | $76 – $83 |
| 25 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL fee schedule · outpatient | 1 | $4 | $3 | $1 | 31% | 17 | $2 – $4 |
← Payers reporting HCPCS J0295 · Snapshot 20261111T120946Z-9134e7f7