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
Aberdeen, SD
See all hospitals reporting HCPCS J0295 →Price type
Avera St. Luke's’s median price of $93 is 520% above the median hospital's median price ($15), higher than 94% 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, 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 | — | — | 2–20 | $2 – $2 |
| 2 | UnitedHealthcare com fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 3 | Wellmark hmo outpatient | $8 | $8 | — | — | 2–20 | $8 – $8 |
| 4 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $87 | $87 | $1 | 2% | — | $85 – $88 |
| 5 | Medica ind percent of total billed charges · inpatientfrom % of charges | $100 | $100 | $2 | 2% | — | $98 – $101 |
| 6 | Medica com fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 7 | Medica ind fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 8 | Medica com percent of total billed charges · inpatientfrom % of charges | $117 | $117 | $2 | 2% | — | $115 – $119 |
| 9 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $121 | $121 | $2 | 2% | — | $119 – $123 |
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.