Ampicillin sodium injection, 2 gram at BSA Hospital

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 2 GRAM SOLUTION FOR INJECTION

Amarillo, TX

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Pricing by billing methodology

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How this price compares nationally

BSA Hospital’s median price of $45 is 310% above the median hospital's median price ($11), higher than 87% of the 2,323 hospitals reporting HCPCS J0290. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0290 at BSA Hospital

Negotiated rates from the hospital’s own file: 10 payers, 23 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 medicaid [116504] facility · percent of total billed charges · bothfrom % of charges	$8	$8	$4	48%	—	$3 – $13
2	Blue Cross Blue Shield bcbs tx medicaid chip [116506] facility · percent of total billed charges · bothfrom % of charges	$8	$8	$4	48%	—	$3 – $13
3	Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges	$35	$35	$17	48%	—	$14 – $55
4	Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges	$35	$35	$17	48%	—	$14 – $55
5	Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges	$35	$35	$17	48%	—	$14 – $55
6	Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges	$35	$35	$17	48%	—	$14 – $55
7	Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges	$35	$35	$17	48%	—	$14 – $55
8	UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges	$35	$35	$17	48%	—	$14 – $55
9	UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges	$35	$35	$17	48%	—	$14 – $55
10	UnitedHealthcare united healthcare core exclusive [206022] facility · percent of total billed charges · bothfrom % of charges	$39	$38	$18	48%	—	$16 – $61
11	UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges	$55	$55	$26	48%	—	$23 – $87
12	UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges	$55	$55	$26	48%	—	$23 – $87
13	Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges	$59	$58	$28	48%	—	$24 – $92
14	Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges	$63	$63	$30	48%	—	$26 – $100
15	Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges	$63	$63	$30	48%	—	$26 – $100
16	Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges	$63	$63	$30	48%	—	$26 – $100
17	Cigna cigna [126008] facility · percent of total billed charges · bothfrom % of charges	$65	$65	$31	48%	—	$27 – $103
18	Healthpartners healthpartners [150000] facility · percent of total billed charges · bothfrom % of charges	$65	$65	$31	48%	—	$27 – $103
19	UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges	$65	$65	$31	48%	—	$27 – $103
20	Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges	$68	$67	$32	48%	—	$28 – $107
21	Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges	$68	$67	$32	48%	—	$28 – $107
22	Kaiser kaiser permanete oakland ca [156000] facility · percent of total billed charges · bothfrom % of charges	$77	$76	$36	48%	—	$31 – $121
23	MultiPlan international benefits administrators [168005] facility · percent of total billed charges · bothfrom % of charges	$77	$76	$36	48%	—	$31 – $121

Last updated: Feb 12, 2026

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