Ampicillin and sulbactam injection, 3 g at Essentia Health Duluth

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 1.5 (1-0.5) G RECON SOLN 1 EACH VIAL

Duluth, MN

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How this price compares nationally

Essentia Health Duluth’s median price of $31 is 105% above the median hospital's median price ($15), higher than 72% 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 Essentia Health Duluth

Negotiated rates from the hospital’s own file: 8 payers, 27 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	Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
2	UnitedHealthcare commercial facility · fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
3	Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges	$17	$28	$30	108%	—	$8 – $93
4	Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges	$20	$34	$36	108%	—	$10 – $112
5	Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges	$21	$35	$38	108%	—	$10 – $116
6	Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges	$21	$35	$38	108%	—	$10 – $116
7	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges	$21	$36	$39	108%	—	$11 – $120
8	Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges	$21	$38	$39	105%	—	$10 – $116
9	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges	$23	$38	$41	108%	—	$11 – $126
10	Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges	$23	$38	$41	108%	—	$11 – $127
11	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges	$22	$39	$41	105%	—	$11 – $120
12	Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges	$23	$41	$43	105%	—	$11 – $127
13	Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges	$28	$47	$50	108%	—	$14 – $155
14	Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges	$28	$48	$52	108%	—	$14 – $159
15	Medica commercial facility · percent of total billed charges · outpatientfrom % of charges	$28	$49	$53	108%	—	$14 – $171
16	Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges	$30	$55	$57	105%	—	$15 – $168
17	Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges	$33	$56	$60	108%	—	$16 – $185
18	Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges	$33	$60	$63	105%	—	$16 – $185
19	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$36	$60	$65	108%	—	$18 – $201
20	Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges	$36	$60	$65	108%	—	$18 – $201
21	Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges	$36	$60	$65	108%	—	$18 – $201
22	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges	$34	$61	$64	105%	—	$17 – $187
23	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$37	$62	$67	108%	—	$18 – $205
24	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$38	$64	$69	108%	—	$19 – $213
25	Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges	$38	$69	$72	105%	—	$19 – $213

Page 1 of 2 · 27 rates

Last updated: Jan 1, 2026

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