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
$104
Median
$17
High
$3.3k
Each hospital's average Regence rate, under the methodology and billing class chosen below.
92 hospitals; the 90th percentile is 46.9× 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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165 hospital rates
iThe hospitals that file a Regence 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 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 3 | $56 | $58 | $13 | 23% | 110–119 | $43 – $86 |
| 2 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $2.6k | $2.6k | — | — | 18 | $2.6k – $2.6k |
| 3 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA fee schedule · both | 2 | $3.3k | $3.3k | — | — | 10–100 | $3.3k – $3.3k |
| 4 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $55 | $81 | $52 | 65% | 2–20 | $20 – $153 |
| 5 | Cottage Grove Community Medical Ct Cottage Grove, OR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $121 | $121 | $48 | 40% | 2–20 | $73 – $169 |
| 6 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 2 | $82 | $89 | $76 | 85% | 1–10 | $13 – $178 |
| 7 | Peace Harbor Medical Center Florence, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $177 | $177 | — | — | 1–10 | $177 – $177 |
| 8 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | $2 | 33% | 1–10 | $4 – $8 |
| 9 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 6 | $2 | $2 | — | — | — | $2 – $2 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT percent of total billed charges · inpatientfrom % of charges | 4 | $63 | $119 | $121 | 101% | — | $33 – $540 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT percent of total billed charges · inpatientfrom % of charges | 4 | $63 | $119 | $121 | 101% | — | $33 – $540 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT percent of total billed charges · inpatientfrom % of charges | 4 | $63 | $119 | $121 | 101% | — | $33 – $540 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT percent of total billed charges · inpatientfrom % of charges | 5 | $69 | $124 | $126 | 101% | — | $33 – $540 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $134 | $132 | 98% | — | $50 – $500 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT percent of total billed charges · inpatientfrom % of charges | 4 | $63 | $119 | $121 | 101% | — | $33 – $540 |
| 16 | COMMONSPIRIT OREGON Pendleton, OR fee schedule · inpatient | 1 | $61 | $61 | $18 | 29% | — | $43 – $78 |
| 17 | COMMONSPIRIT OREGON Pendleton, OR fee schedule · outpatient | 1 | $61 | $61 | $18 | 29% | — | $43 – $78 |
| 18 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 19 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $3 | $2 | $1 | 28% | — | $1 – $3 |
| 20 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 21 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 2 | $61 | $68 | $32 | 47% | — | $31 – $118 |
| 22 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 2 | $61 | $68 | $32 | 47% | — | $31 – $118 |
| 23 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 24 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $47 | $8 | 16% | — | $37 – $56 |
| 25 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $3 | $2 | $1 | 28% | — | $1 – $3 |
← Payers reporting HCPCS J0295 · Snapshot 20261111T120946Z-9134e7f7