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
Enumclaw, WA
See all hospitals reporting HCPCS J0295 →Price type
Enumclaw Regional Hospital Association’s median price of $112 is 634% above the median hospital's median price ($15), higher than 95% 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: 10 payers, 26 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 | Aetna commercial|awh fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Aetna commercial|all other plans fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Kaiser medicare|all plans fee schedule · outpatient | $72 | $122 | $109 | 89% | — | $20 – $330 |
| 4 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $72 | $122 | $109 | 89% | — | $20 – $331 |
| 5 | Molina medicaid|all plans fee schedule · outpatient | $72 | $123 | $110 | 89% | — | $21 – $332 |
| 6 | Optum medicare|all plans fee schedule · outpatient | $73 | $124 | $110 | 89% | — | $21 – $334 |
| 7 | Premera medicare|all plans fee schedule · outpatient | $74 | $126 | $112 | 89% | — | $21 – $340 |
| 8 | Regence medicare|all plans fee schedule · outpatient | $74 | $126 | $112 | 89% | — | $21 – $340 |
| 9 | Humana medicare|all plans fee schedule · outpatient | $77 | $131 | $117 | 89% | — | $22 – $353 |
| 10 | Molina medicare|all plans fee schedule · outpatient | $78 | $132 | $118 | 89% | — | $22 – $357 |
| 11 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $78 | $132 | $118 | 89% | — | $22 – $357 |
| 12 | Aetna medicare|all plans fee schedule · outpatient | $88 | $149 | $133 | 89% | — | $25 – $404 |
| 13 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $119 | $202 | $180 | 89% | — | $34 – $545 |
| 14 | Molina medicaid|all plans fee schedule · inpatient | $119 | $203 | $180 | 89% | — | $34 – $547 |
| 15 | Molina commercial|marketplace exchange fee schedule · outpatient | $138 | $235 | $209 | 89% | — | $39 – $634 |
| 16 | UnitedHealthcare commercial|cascade care fee schedule · inpatient | $144 | $245 | $218 | 89% | — | $41 – $661 |
| 17 | UnitedHealthcare commercial|navigate fee schedule · inpatient | $148 | $251 | $224 | 89% | — | $42 – $679 |
| 18 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $156 | $265 | $236 | 89% | — | $44 – $716 |
| 19 | Aetna commercial|awh fee schedule · inpatient | $160 | $272 | $242 | 89% | — | $45 – $734 |
| 20 | Aetna commercial|all other plans fee schedule · inpatient | $192 | $326 | $290 | 89% | — | $55 – $881 |
| 21 | Cigna commercial|all plans fee schedule · outpatient | $200 | $340 | $303 | 89% | — | $57 – $918 |
| 22 | Cigna commercial|all plans fee schedule · inpatient | $220 | $374 | $333 | 89% | — | $62 – $1.0k |
| 23 | Aetna commercial|rental fee schedule · inpatient | $288 | $489 | $436 | 89% | — | $82 – $1.3k |
| 24 | Aetna commercial|rental fee schedule · outpatient | $288 | $489 | $436 | 89% | — | $82 – $1.3k |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $360 | $612 | $545 | 89% | — | $102 – $1.7k |
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.