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
$149
Median
$12
High
$6.9k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
261 hospitals; the 90th percentile is 28.0× 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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284 hospital rates
iThe hospitals that file a WellCare 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 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $7 | $14 | 191% | 40–400 | $2 – $69 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $7 | $14 | 191% | 40–400 | $2 – $69 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $7 | $14 | 191% | 40–400 | $2 – $69 |
| 4 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $16 | $5 | 35% | 29–290 | $10 – $33 |
| 5 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $8 | $1 | 17% | 28–280 | $7 – $11 |
| 6 | The Charlotte Mecklenburg Hospital Authority Waxhaw, NC percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $7 | $1 | 17% | 28–280 | $6 – $10 |
| 7 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $13 | $3 | 25% | 26–260 | $10 – $21 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $7 | $12 | 191% | 18 | $1 – $61 |
| 9 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | $2 | 14% | 11 | $12 – $16 |
| 10 | Scotland Memorial Hospital Inc. Laurinburg, NC facility · fee schedule · both | 1 | $2 | $2 | — | — | 11 | $2 – $2 |
| 11 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $10 | $10 | — | — | 8–80 | $10 – $10 |
| 12 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · inpatientfrom % of charges | 1 | $17 | $15 | $4 | 28% | 3–30 | $9 – $20 |
| 13 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | $0 | 1% | 3–30 | $9 – $9 |
| 14 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $18 | $18 | — | — | 2–20 | $18 – $18 |
| 15 | ARH Tug Valley Health Services, Inc. Paintsville, KY other · outpatient | 1 | $36 | $36 | — | — | 1–10 | $36 – $36 |
| 16 | Baptist Health Medical Center - Arkadelphia Arkadelphia, AR other · outpatient | 1 | $50 | $50 | — | — | 1–10 | $50 – $50 |
| 17 | Brunswick Community Hospital, LLC Bolivia, NC percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | 1–10 | $25 – $25 |
| 18 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | 1–10 | $65 – $65 |
| 19 | Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | — | — | 1–10 | $34 – $34 |
| 20 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | 1–10 | $22 – $22 |
| 21 | Novant Health Mint Hill Medical Center, LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | — | — | 1–10 | $62 – $62 |
| 22 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | 1–10 | $25 – $25 |
| 23 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $4 | $4 | — | — | 1–10 | $4 – $4 |
| 24 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | 1–10 | $31 – $31 |
| 25 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $2 | $1 | 25% | — | $2 – $3 |
← Payers reporting HCPCS J0295 · Snapshot 20261111T120946Z-9134e7f7