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 3 GRAM SOLUTION FOR INJECTION
Ulysses, KS
See all hospitals reporting HCPCS J0295 →Price type
Commonspirit Kansas, Inc.’s median price of $93 is 509% above the median hospital's median price ($15), higher than 94% 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: 6 payers, 13 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 | Bcbs Ks commercial ppo/hmo fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 2 | Aetna managed medicare percent of total billed charges · outpatientfrom % of charges | $38 | $77 | $76 | 98% | — | $29 – $288 |
| 3 | Humana managed medicare percent of total billed charges · outpatientfrom % of charges | $38 | $77 | $76 | 98% | — | $29 – $288 |
| 4 | Medicare medicare percent of total billed charges · outpatientfrom % of charges | $38 | $77 | $76 | 98% | — | $29 – $288 |
| 5 | UnitedHealthcare managed medicare percent of total billed charges · outpatientfrom % of charges | $38 | $77 | $76 | 98% | — | $29 – $288 |
| 6 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $95 | $193 | $190 | 98% | — | $72 – $720 |
| 7 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $95 | $193 | $190 | 98% | — | $72 – $720 |
| 8 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges | $99 | $201 | $198 | 98% | — | $75 – $751 |
| 9 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges | $99 | $201 | $198 | 98% | — | $75 – $751 |
| 10 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $107 | $217 | $214 | 98% | — | $81 – $810 |
| 11 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $107 | $217 | $214 | 98% | — | $81 – $810 |
| 12 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $111 | $225 | $221 | 98% | — | $84 – $837 |
| 13 | MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges | $111 | $225 | $221 | 98% | — | $84 – $837 |
Last updated: Feb 3, 2026
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