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 1.5 GRAM SOLUTION FOR INJECTION
Macon, GA
See all hospitals reporting HCPCS J0295 →Price type
Central Georgia Rehabilitation LLC’s median price of $42 is 177% above the median hospital's median price ($15), higher than 80% 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: 9 payers, 27 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 | Anthem hmo/ppo fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Cigna commercial fee schedule · both | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Humana hmo/pos fee schedule · both | $7 | $7 | — | — | — | $7 – $7 |
| 4 | Humana ppo fee schedule · both | $7 | $7 | — | — | — | $7 – $7 |
| 5 | Aetna hmo fee schedule · both | $8 | $8 | — | — | — | $8 – $8 |
| 6 | Aetna pos fee schedule · both | $8 | $8 | — | — | — | $8 – $8 |
| 7 | Aetna ppo fee schedule · both | $8 | $8 | — | — | — | $8 – $8 |
| 8 | Kaiser commercial fee schedule · both | $8 | $8 | — | — | — | $8 – $8 |
| 9 | UnitedHealthcare commercial fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 10 | Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges | $21 | $23 | $8 | 36% | — | $14 – $39 |
| 11 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $27 | $31 | $11 | 36% | — | $18 – $53 |
| 12 | Anthem hmo/ppo percent of total billed charges · inpatientfrom % of charges | $30 | $34 | $12 | 36% | — | $20 – $57 |
| 13 | Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges | $35 | $39 | $14 | 36% | — | $23 – $67 |
| 14 | Humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $40 | $45 | $16 | 36% | — | $27 – $77 |
| 15 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $40 | $45 | $16 | 36% | — | $27 – $77 |
| 16 | Aetna pos percent of total billed charges · outpatientfrom % of charges | $45 | $50 | $18 | 36% | — | $30 – $85 |
| 17 | Kaiser commercial percent of total billed charges · inpatientfrom % of charges | $45 | $50 | $18 | 36% | — | $30 – $85 |
| 18 | Kaiser commercial percent of total billed charges · outpatientfrom % of charges | $45 | $50 | $18 | 36% | — | $30 – $85 |
| 19 | MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges | $45 | $50 | $18 | 36% | — | $30 – $85 |
| 20 | MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges | $45 | $50 | $18 | 36% | — | $30 – $85 |
| 21 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $45 | $50 | $18 | 36% | — | $30 – $86 |
| 22 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $47 | $53 | $19 | 36% | — | $31 – $90 |
| 23 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $47 | $53 | $19 | 36% | — | $31 – $90 |
| 24 | MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges | $55 | $61 | $22 | 36% | — | $36 – $105 |
| 25 | MultiPlan pho agreement complimentary network percent of total billed charges · outpatientfrom % of charges | $55 | $61 | $22 | 36% | — | $36 – $105 |
Last updated: Nov 19, 2025
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