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
CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLR [127753]
Arlington, TX
See all hospitals reporting HCPCS J0695 →Price type
AMH Cath Labs LLC’s median price of $216 is 1211% above the median hospital's median price ($16), higher than 77% of the 1,868 hospitals reporting HCPCS J0695. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 33 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 medicare advantage case rate · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 2 | Humana medicare advantage case rate · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 4 | Molina medicare advantage case rate · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 10 | Blue Cross Blue Shield exchange fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 11 | Blue Cross Blue Shield ppo fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 12 | UnitedHealthcare all payer fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 13 | UnitedHealthcare ppo fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 14 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $51 | $51 | — | — | — | $51 – $51 |
| 15 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $51 | $51 | — | — | — | $51 – $51 |
| 16 | Blue Cross Blue Shield traditional fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 17 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $53 | $53 | — | — | — | $53 – $53 |
| 18 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $55 | $55 | — | — | — | $55 – $55 |
| 19 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 20 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 21 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $235 | $235 | — | — | — | $235 – $235 |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $263 | $263 | — | — | — | $263 – $263 |
| 23 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $313 | $313 | — | — | — | $313 – $313 |
| 24 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $316 | $316 | — | — | — | $316 – $316 |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $397 | $397 | — | — | — | $397 – $397 |
Last updated: Apr 21, 2026
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