Ampicillin and sulbactam injection, 3 g at CHRISTUS Hospital - Orange

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 (Unasyn) 3 g in sodium chloride 0.9 % 100 mL IVPB

Orange, TX

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How this price compares nationally

CHRISTUS Hospital - Orange’s median price of $27 is 76% above the median hospital's median price ($15), higher than 67% 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 CHRISTUS Hospital - Orange

Negotiated rates from the hospital’s own file: 11 payers, 30 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	UnitedHealthcare all payer fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
2	UnitedHealthcare hix fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
3	Aetna new business fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
4	Aetna epo fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
5	Aetna hmo fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
6	Aetna pos fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
7	Aetna ppo fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
8	Humana choicecare fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
9	Bcbs Tx blue advantage hmo fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
10	UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges	$15	$15	$7	50%	—	$7 – $22
11	UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges	$15	$15	$7	50%	—	$7 – $22
12	UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges	$15	$15	$7	50%	—	$7 – $22
13	UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges	$15	$15	$7	50%	—	$7 – $22
14	Bcbs Tx heb fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
15	Bcbs Tx hmo fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
16	Bcbs Tx ppo fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
17	Bcbs Tx traditional fee schedule · outpatient	$18	$18	—	—	—	$18 – $18
18	Aetna mm percent of total billed charges · outpatientfrom % of charges	$36	$36	$18	50%	—	$18 – $54
19	UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges	$42	$42	$21	50%	—	$21 – $62
20	Molina chip km percent of total billed charges · outpatientfrom % of charges	$45	$45	$22	50%	—	$22 – $67
21	Molina star km percent of total billed charges · outpatientfrom % of charges	$45	$45	$22	50%	—	$22 – $67
22	Molina star plus km percent of total billed charges · outpatientfrom % of charges	$45	$45	$22	50%	—	$22 – $67
23	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$45	$45	$22	50%	—	$22 – $67
24	Cigna new business percent of total billed charges · outpatientfrom % of charges	$58	$58	$29	50%	—	$29 – $87
25	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$67	$67	$34	50%	—	$33 – $100

Page 1 of 2 · 30 rates

Last updated: Jan 13, 2026

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