Ampicillin and sulbactam injection, 3 g at Astera Health

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-SULBACTAM 1.5 GRAM INJ SOLR

Wadena, MN

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How this price compares nationally

Astera Health’s median price of $67 is 347% above the median hospital's median price ($15), higher than 89% of the 2,308 hospitals reporting HCPCS J0295. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0295 at Astera Health

Negotiated rates from the hospital’s own file: 7 payers, 34 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 bcbs federal employees [400004] fee schedule · outpatient	$5	$5	$2	33%	—	$3 – $7
2	Blue Cross Blue Shield bcbs high value network fee schedule · outpatient	$5	$5	$2	33%	—	$3 – $7
3	Blue Cross Blue Shield blue plus [400058] fee schedule · outpatient	$5	$5	$2	33%	—	$3 – $7
4	Ucare ucare pmap [300063] percent of total billed charges · outpatientfrom % of charges	$37	$37	$6	16%	—	$31 – $43
5	Blue Cross Blue Shield mr-bcbs mn [400069] percent of total billed charges · outpatientfrom % of charges	$41	$41	$6	16%	—	$34 – $47
6	Medica mr-medica advantage solutions [100895] percent of total billed charges · outpatientfrom % of charges	$41	$41	$6	16%	—	$34 – $47
7	Ucare mr-ucare [300064] percent of total billed charges · outpatientfrom % of charges	$43	$43	$7	16%	—	$36 – $49
8	Ucare mr-ucare msho [300061] percent of total billed charges · outpatientfrom % of charges	$43	$43	$7	16%	—	$36 – $49
9	Medica medica mncare [100751] percent of total billed charges · outpatientfrom % of charges	$43	$43	$7	16%	—	$37 – $50
10	Medica medica pmap [100345] percent of total billed charges · outpatientfrom % of charges	$43	$43	$7	16%	—	$37 – $50
11	Medica mr-medica dual solutions msho [100344] percent of total billed charges · outpatientfrom % of charges	$56	$56	$9	16%	—	$48 – $65
12	Medica mr-medica dual solutions msho [100344] percent of total billed charges · inpatientfrom % of charges	$58	$58	$9	16%	—	$49 – $68
13	Ucare ucare commercial [100748] percent of total billed charges · inpatientfrom % of charges	$70	$70	$11	16%	—	$59 – $81
14	UnitedHealthcare united healthcare [100453] percent of total billed charges · inpatientfrom % of charges	$75	$75	$12	16%	—	$64 – $87
15	Ucare ucare commercial [100748] percent of total billed charges · outpatientfrom % of charges	$75	$75	$12	16%	—	$64 – $87
16	Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · inpatientfrom % of charges	$77	$77	$12	16%	—	$65 – $89
17	Blue Cross Blue Shield bcbs high value network percent of total billed charges · inpatientfrom % of charges	$77	$77	$12	16%	—	$65 – $89
18	Blue Cross Blue Shield blue plus [400058] percent of total billed charges · inpatientfrom % of charges	$77	$77	$12	16%	—	$65 – $89
19	UnitedHealthcare united healthcare [100453] percent of total billed charges · outpatientfrom % of charges	$78	$78	$12	16%	—	$66 – $91
20	Medica medica [100341] percent of total billed charges · outpatientfrom % of charges	$79	$79	$12	16%	—	$67 – $91
21	MultiPlan multiplan percent of total billed charges · inpatientfrom % of charges	$81	$81	$13	16%	—	$68 – $94
22	MultiPlan multiplan percent of total billed charges · outpatientfrom % of charges	$81	$81	$13	16%	—	$68 – $94
23	Sanford Health Plan sanford health plan [100578] percent of total billed charges · inpatientfrom % of charges	$86	$86	$13	16%	—	$73 – $100
24	Sanford Health Plan sanford health plan [100578] percent of total billed charges · outpatientfrom % of charges	$86	$86	$13	16%	—	$73 – $100
25	Aetna aetna - fh [100925] percent of total billed charges · inpatientfrom % of charges	$91	$91	$14	16%	—	$77 – $105

Page 1 of 2 · 34 rates

Last updated: Feb 20, 2026

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