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/Sulbact 1.5 GR Vial
Mitchell, SD
See all hospitals reporting HCPCS J0295 →Price type
Avera Queen of Peace’s median price of $100 is 558% above the median hospital's median price ($15), higher than 94% of the 2,336 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, 9 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 | Wellmark ppo fee schedule · outpatient | $2 | $2 | — | — | 4–40 | $2 – $2 |
| 2 | Wellmark hmo outpatient | $4 | $4 | — | — | 4–40 | $4 – $4 |
| 3 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $87 | $90 | $58 | 65% | — | $10 – $175 |
| 4 | Medica ind percent of total billed charges · inpatientfrom % of charges | $100 | $103 | $67 | 65% | — | $12 – $202 |
| 5 | Medica com fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 6 | Medica ind fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 7 | Medica com percent of total billed charges · inpatientfrom % of charges | $118 | $122 | $79 | 65% | — | $14 – $238 |
| 8 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $136 | $141 | $92 | 65% | — | $16 – $275 |
| 9 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $136 | $141 | $92 | 65% | — | $16 – $275 |
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.