Ampicillin and sulbactam injection, 3 g 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-SULBACTAM 3 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 $90 is 494% above the median hospital's median price ($15), higher than 93% of the 2,336 hospitals reporting HCPCS J0295. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0295 at BSA Hospital

Negotiated rates from the hospital’s own file: 9 payers, 19 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	Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges	$67	$67	$46	68%	—	$21 – $114
2	Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges	$67	$67	$46	68%	—	$21 – $114
3	Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges	$67	$67	$46	68%	—	$21 – $114
4	Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges	$67	$67	$46	68%	—	$21 – $114
5	Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges	$67	$67	$46	68%	—	$21 – $114
6	UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges	$67	$67	$46	68%	—	$21 – $114
7	UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges	$67	$67	$46	68%	—	$21 – $114
8	Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges	$112	$112	$77	68%	—	$35 – $189
9	Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges	$121	$121	$83	68%	—	$38 – $204
10	Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges	$121	$121	$83	68%	—	$38 – $204
11	Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges	$121	$121	$83	68%	—	$38 – $204
12	Cigna cigna [126008] facility · percent of total billed charges · bothfrom % of charges	$126	$126	$86	68%	—	$40 – $211
13	Healthpartners healthpartners [150000] facility · percent of total billed charges · bothfrom % of charges	$126	$126	$86	68%	—	$40 – $211
14	UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges	$126	$126	$86	68%	—	$40 – $212
15	Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges	$130	$130	$89	68%	—	$41 – $218
16	Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges	$130	$130	$89	68%	—	$41 – $218
17	Cigna cigna pantex [126003] facility · percent of total billed charges · bothfrom % of charges	$137	$137	—	—	—	$137 – $137
18	Kaiser kaiser permanete oakland ca [156000] facility · percent of total billed charges · bothfrom % of charges	$147	$147	$101	68%	—	$46 – $248
19	MultiPlan international benefits administrators [168005] facility · percent of total billed charges · bothfrom % of charges	$147	$147	$101	68%	—	$46 – $248

Last updated: Feb 12, 2026

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