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 INJECTION SOLR [11233]
Arlington, TX
See all hospitals reporting HCPCS J0295 →Price type
AMH Cath Labs LLC’s median price of $15 is 2% below the median hospital's median price ($15), higher than 50% of the 2,315 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: 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 | $3 | $2 | $1 | 25% | — | $2 – $3 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $3 | $2 | $1 | 25% | — | $2 – $3 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $3 | $2 | $1 | 25% | — | $2 – $3 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $3 | $3 | $1 | 25% | — | $2 – $3 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $3 | $3 | $1 | 25% | — | $2 – $3 |
| 6 | Blue Cross Blue Shield hmo fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 7 | Blue Cross Blue Shield exchange fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 8 | Blue Cross Blue Shield ppo fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 9 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $10 | $9 | $2 | 25% | — | $6 – $11 |
| 10 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $12 | $11 | $3 | 25% | — | $7 – $14 |
| 11 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $13 | $12 | $3 | 25% | — | $8 – $15 |
| 12 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $15 | $14 | $3 | 25% | — | $9 – $17 |
| 13 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $16 | $15 | $4 | 25% | — | $10 – $18 |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $16 | $15 | $4 | 25% | — | $10 – $18 |
| 15 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $16 | $15 | $4 | 25% | — | $10 – $18 |
| 16 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $20 | $19 | $5 | 25% | — | $12 – $23 |
| 17 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $20 | $19 | $5 | 25% | — | $12 – $23 |
| 18 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $20 | $19 | $5 | 25% | — | $12 – $23 |
| 19 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $20 | $19 | $5 | 25% | — | $12 – $23 |
| 20 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $22 | $20 | $5 | 25% | — | $13 – $25 |
| 21 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $25 | $23 | $6 | 25% | — | $15 – $29 |
| 22 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $25 | $23 | $6 | 25% | — | $15 – $29 |
| 23 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $27 | $25 | $6 | 25% | — | $17 – $31 |
| 24 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $27 | $25 | $6 | 25% | — | $17 – $31 |
| 25 | Blue Cross Blue Shield traditional fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
Last updated: Apr 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.