Ampicillin and sulbactam injection, 3 g at Carle Eureka 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

Eureka, IL

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How this price compares nationally

Carle Eureka Hospital’s median price of $32 is 112% above the median hospital's median price ($15), higher than 73% of the 2,315 hospitals reporting HCPCS J0295. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0295 at Carle Eureka Hospital

Negotiated rates from the hospital’s own file: 8 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	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$2	$2	—	—	—	$2 – $2
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
3	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$2	$2	—	—	—	$2 – $2
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
5	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$21	$23	$22	95%	—	$6 – $93
6	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$21	$23	$22	95%	—	$6 – $93
7	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$21	$23	$22	95%	—	$6 – $93
8	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$48	$52	$49	95%	—	$13 – $208
9	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$48	$52	$49	95%	—	$13 – $208
10	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$48	$52	$49	95%	—	$13 – $208
11	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$48	$52	$49	95%	—	$13 – $208
12	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$52	$55	$53	95%	—	$14 – $222
13	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$66	$71	$68	95%	—	$18 – $286
14	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$67	$71	$68	95%	—	$18 – $287
15	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$71	$76	$72	95%	—	$19 – $306
16	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$71	$76	$72	95%	—	$19 – $306
17	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$72	$77	$73	95%	—	$19 – $310
18	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$80	$86	$82	95%	—	$22 – $347
19	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$90	$97	$92	95%	—	$24 – $389

Last updated: Apr 15, 2026

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