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
$1
Average
$33
Median
$15
High
$1.4k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
379 hospitals; the 90th percentile is 23.6× 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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513 hospital rates
iThe hospitals that file a Molina 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 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · other · outpatient | 1 | $55 | $55 | — | — | 256 | $55 – $55 |
| 2 | Methodist Hospitals of Dallas Mansfield, TX percent of total billed charges · bothfrom % of charges | 1 | $39 | $39 | $24 | 63% | 144 | $14 – $63 |
| 3 | University Medical Center of Southern Nevada Las Vegas, NV percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | 110 | $3 – $3 |
| 4 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $18 | $21 | $8 | 37% | 80 | $14 – $36 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $7 | $14 | 191% | 40–400 | $2 – $69 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $7 | $14 | 191% | 40–400 | $2 – $69 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $7 | $12 | 191% | 40–400 | $1 – $61 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $7 | $12 | 191% | 30 | $1 – $61 |
| 9 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $9 | $17 | 191% | 25 | $2 – $84 |
| 10 | Bexar County Hospital District San Antonio, TX other · outpatient | 1 | $23 | $23 | — | — | 17–170 | $23 – $23 |
| 11 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $10 | $10 | $0 | 1% | 16–160 | $10 – $10 |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $7 | $14 | 191% | 15 | $2 – $69 |
| 13 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS percent of total billed charges · bothfrom % of charges | 1 | $18 | $21 | $8 | 37% | 8–80 | $14 – $36 |
| 14 | Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | $4 | 33% | 4–40 | $8 – $17 |
| 15 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $15 | $5 | 33% | 4–40 | $10 – $21 |
| 16 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $13 | $4 | 28% | 3–30 | $8 – $16 |
| 17 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $15 | $4 | 28% | 3–30 | $9 – $19 |
| 18 | USA Health Children's & Women's Hospital Mobile, AL facility · other · outpatient | 1 | $3 | $3 | — | — | 3–30 | $3 – $3 |
| 19 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $43 | $47 | $25 | 53% | 2–20 | $20 – $77 |
| 20 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | — | — | 1–10 | $63 – $63 |
| 21 | North Canyon Medical Center Inc. Gooding, ID facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 22 | Vanderbilt Wilson County Hospital Lebanon, TN percent of total billed charges · bothfrom % of charges | 1 | $57 | $59 | $3 | 5% | 1–10 | $56 – $67 |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 24 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | $1 | 25% | — | $2 – $3 |
| 25 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $11 | $3 | 28% | — | $7 – $14 |
← Payers reporting HCPCS J0295 · Snapshot 20261111T120946Z-9134e7f7