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
AMP/SULB 1.5GM/NS 50MLPMX
Glendale, CA
See all hospitals reporting HCPCS J0295 →Price type
Dignity Community Care’s median price of $25 is 65% above the median hospital's median price ($15), higher than 64% of the 2,315 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: 8 payers, 23 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 commercial|hmo fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 2 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 4 | Aetna commercial|all other plans fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 5 | Aetna commercial|hmo fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 6 | Aetna commercial|ppo fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 7 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 8 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 9 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 10 | Anthem medicaid|all plans fee schedule · inpatient | $24 | $27 | $13 | 47% | — | $14 – $45 |
| 11 | Anthem medicaid|all plans fee schedule · outpatient | $24 | $27 | $13 | 47% | — | $14 – $45 |
| 12 | Cigna commercial|all other plans fee schedule · outpatient | $44 | $50 | $24 | 47% | — | $25 – $82 |
| 13 | Cigna commercial|ppo fee schedule · outpatient | $44 | $50 | $24 | 47% | — | $25 – $82 |
| 14 | Anthem commercial|non-mcs fee schedule · outpatient | $56 | $54 | $3 | 6% | — | $50 – $56 |
| 15 | Anthem commercial|mcs fee schedule · outpatient | $56 | $56 | $1 | 2% | — | $54 – $56 |
| 16 | Kaiser commercial|all plans fee schedule · inpatient | $54 | $61 | $29 | 47% | — | $30 – $100 |
| 17 | Kaiser commercial|all plans fee schedule · outpatient | $54 | $61 | $29 | 47% | — | $30 – $100 |
| 18 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $58 | $66 | $31 | 47% | — | $32 – $107 |
| 19 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $58 | $66 | $31 | 47% | — | $32 – $107 |
| 20 | First Health commercial|all plans fee schedule · inpatient | $62 | $71 | $34 | 47% | — | $35 – $116 |
| 21 | First Health commercial|all plans fee schedule · outpatient | $62 | $71 | $34 | 47% | — | $35 – $116 |
| 22 | MultiPlan commercial|all plans fee schedule · inpatient | $77 | $88 | $42 | 47% | — | $43 – $143 |
| 23 | MultiPlan commercial|all plans fee schedule · outpatient | $77 | $88 | $42 | 47% | — | $43 – $143 |
Last updated: Feb 28, 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.