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 2 g-1 g Pow
Astoria, OR
See all hospitals reporting HCPCS J0295 →Price type
Columbia Lutheran Charities’s median price of $54 is 254% above the median hospital's median price ($15), higher than 85% 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, 14 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 | Molina molina ma - medicare advantage facility · percent of total billed charges · bothfrom % of charges | $41 | $41 | $21 | 52% | — | $20 – $62 |
| 2 | Regence medicare facility · percent of total billed charges · bothfrom % of charges | $41 | $41 | $21 | 52% | — | $20 – $62 |
| 3 | Tricare military facility · percent of total billed charges · bothfrom % of charges | $41 | $41 | $21 | 52% | — | $20 – $62 |
| 4 | UnitedHealthcare medicare facility · percent of total billed charges · bothfrom % of charges | $41 | $41 | $21 | 52% | 4–40 | $20 – $62 |
| 5 | Aetna aetna medicare advantage - medicare advantage facility · percent of total billed charges · bothfrom % of charges | $42 | $42 | $22 | 52% | — | $20 – $63 |
| 6 | Cigna cigna medicare advantage - medicare advantage facility · percent of total billed charges · bothfrom % of charges | $43 | $43 | $22 | 52% | — | $21 – $65 |
| 7 | Molina medicaid facility · percent of total billed charges · bothfrom % of charges | $51 | $51 | $26 | 52% | 2–20 | $25 – $77 |
| 8 | Regence commercial facility · percent of total billed charges · bothfrom % of charges | $101 | $101 | $52 | 52% | 2–20 | $49 – $153 |
| 9 | First Health first health/coventry - commercial facility · percent of total billed charges · bothfrom % of charges | $102 | $102 | $53 | 52% | — | $49 – $154 |
| 10 | Premera bc premera lifewise - commercial facility · percent of total billed charges · bothfrom % of charges | $108 | $108 | $55 | 52% | — | $52 – $163 |
| 11 | UnitedHealthcare commercial facility · percent of total billed charges · bothfrom % of charges | $108 | $108 | $55 | 52% | — | $52 – $163 |
| 12 | Aetna commercial facility · percent of total billed charges · bothfrom % of charges | $109 | $109 | $56 | 52% | 2–20 | $53 – $165 |
| 13 | Cigna commercial facility · percent of total billed charges · bothfrom % of charges | $109 | $109 | $56 | 52% | — | $53 – $165 |
| 14 | MultiPlan multiplan - commercial facility · percent of total billed charges · bothfrom % of charges | $109 | $109 | $56 | 52% | — | $53 – $165 |
Last updated: Jan 5, 2026
See Ampicillin and sulbactam injection, 3 g pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.