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 GR Vial
De Smet, SD
See all hospitals reporting HCPCS J0295 →Price type
Avera DeSmet’s median price of $131 is 772% above the median hospital's median price ($15), higher than 96% of the 2,308 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: 4 payers, 10 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 | Medica ind percent of total billed charges · inpatientfrom % of charges | $105 | $105 | — | — | — | $105 – $105 |
| 2 | Medica com fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 3 | Medica ind fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 4 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $118 | $118 | — | — | — | $118 – $118 |
| 5 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $118 | $118 | — | — | — | $118 – $118 |
| 6 | Medica com percent of total billed charges · inpatientfrom % of charges | $124 | $124 | — | — | — | $124 – $124 |
| 7 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 8 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 9 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 10 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
Last updated: Apr 1, 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.