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
INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM
Tehachapi, CA
See all hospitals reporting HCPCS J0295 →Price type
Adventist Health Medical Center Tehachapi’s median price of $58 is 278% above the median hospital's median price ($15), higher than 86% of the 2,336 hospitals reporting HCPCS J0295. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 14 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare uhc all payer- all other plans fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 2 | UnitedHealthcare uhc jll csp fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Blue Cross Blue Shield tricare blue shield percent of total billed charges · outpatientfrom % of charges | $22 | $22 | $0 | 1% | — | $21 – $22 |
| 4 | Kaiser kaiser medicare ip/op only percent of total billed charges · outpatientfrom % of charges | $22 | $22 | $0 | 1% | — | $21 – $22 |
| 5 | UnitedHealthcare uhc mcr adv percent of total billed charges · outpatientfrom % of charges | $22 | $22 | $0 | 1% | 2–20 | $21 – $22 |
| 6 | Kaiser kaiser ip/op only- all other plans percent of total billed charges · outpatientfrom % of charges | $37 | $37 | $0 | 1% | — | $37 – $38 |
| 7 | Blue Cross Blue Shield blue shield epn- all other plans percent of total billed charges · outpatientfrom % of charges | $48 | $48 | $0 | 1% | 2–20 | $48 – $49 |
| 8 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $57 | $57 | $1 | 1% | 2–20 | $56 – $58 |
| 9 | Blue Cross Blue Shield blue cross exchange case rate · outpatient | $59 | $59 | $1 | 1% | — | $59 – $60 |
| 10 | Blue Cross Blue Shield blue cross non-mcs- all other plans case rate · outpatient | $66 | $66 | $1 | 1% | — | $65 – $66 |
| 11 | Cigna cigna- all plans percent of total billed charges · outpatientfrom % of charges | $89 | $89 | $1 | 1% | — | $88 – $90 |
| 12 | Kaiser kaiser medi-cal ip/op only fee schedule · outpatient | $114 | $114 | $1 | 1% | — | $113 – $115 |
| 13 | Medicaid medi-cal fee schedule · outpatient | $114 | $114 | $1 | 1% | — | $113 – $115 |
| 14 | Aetna aetna-all plans fee schedule · outpatient | $261 | $261 | $3 | 1% | — | $259 – $264 |
Last updated: May 21, 2026
See Ampicillin and sulbactam injection, 3 g pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.