Ampicillin sodium injection, 2 gram at AMH Cath Labs LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

AMPICILLIN SODIUM 250 MG INJECTION SOLR [9646]

Arlington, TX

See all hospitals reporting HCPCS J0290 →

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How this price compares nationally

AMH Cath Labs LLC’s median price of $10 is 3% below the median hospital's median price ($11), higher than 49% of the 2,303 hospitals reporting HCPCS J0290. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0290 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 8 payers, 25 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.

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1	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$1	$2	$2	72%	—	$1 – $6
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$1	$2	$2	72%	—	$1 – $6
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$2	$2	$2	73%	—	$1 – $6
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$2	$3	$2	73%	—	$1 – $6
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$2	$3	$2	73%	—	$1 – $6
6	Blue Cross Blue Shield hmo fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
7	Blue Cross Blue Shield exchange fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
8	Blue Cross Blue Shield ppo fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
9	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$6	$9	$7	73%	—	$5 – $22
10	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$7	$11	$8	73%	—	$6 – $26
11	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$8	$12	$9	73%	—	$7 – $29
12	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$8	$13	$10	73%	—	$8 – $33
13	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$9	$14	$10	73%	—	$8 – $35
14	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$9	$14	$10	73%	—	$8 – $35
15	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$9	$14	$10	73%	—	$8 – $35
16	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$11	$18	$13	73%	—	$10 – $44
17	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$11	$18	$13	73%	—	$10 – $44
18	Aetna asa percent of total billed charges · outpatientfrom % of charges	$12	$18	$13	73%	—	$11 – $45
19	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$12	$18	$13	73%	—	$11 – $45
20	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$12	$19	$14	73%	—	$11 – $47
21	Blue Cross Blue Shield traditional fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
22	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$14	$23	$16	73%	—	$13 – $55
23	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$14	$23	$16	73%	—	$13 – $55
24	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$15	$24	$18	73%	—	$14 – $60
25	Cigna indemnity percent of total billed charges · outpatientfrom % of charges	$15	$24	$18	73%	—	$14 – $60

Last updated: Apr 21, 2026

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