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
AMPICIL/SULBAC 1.5 G INJ
San Antonio, TX
See all hospitals reporting HCPCS J0295 →Price type
Methodist Hospital Stone Oak’s median price of $15 is 1% below the median hospital's median price ($15), higher than 50% 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, 22 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 allpayerappendix fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 2 | UnitedHealthcare charter fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 3 | UnitedHealthcare nexusaco fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 4 | UnitedHealthcare smallgroup fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 5 | Cigna newbusinessnetwork fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 6 | Cigna hmo fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 7 | Cigna openaccessplus fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 8 | Cigna ppo fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 9 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 10 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 11 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 12 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 13 | Blue Cross Blue Shield healthselectopenaccess(eposoa) fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 14 | Blue Cross Blue Shield ppo fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 15 | First Health chip percent of total billed charges · outpatientfrom % of charges | $6 | $31 | $35 | 111% | — | $1 – $74 |
| 16 | First Health chipperinate percent of total billed charges · outpatientfrom % of charges | $6 | $31 | $35 | 111% | — | $1 – $74 |
| 17 | First Health mcdstar percent of total billed charges · outpatientfrom % of charges | $6 | $31 | $35 | 111% | — | $1 – $74 |
| 18 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $13 | $66 | $73 | 111% | — | $1 – $155 |
| 19 | Blue Cross Blue Shield trad percent of total billed charges · outpatientfrom % of charges | $15 | $77 | $85 | 111% | — | $2 – $182 |
| 20 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $25 | $131 | $145 | 111% | — | $3 – $309 |
| 21 | MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges | $38 | $196 | $217 | 111% | — | $4 – $464 |
| 22 | MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges | $43 | $222 | $246 | 111% | — | $4 – $526 |
Last updated: May 1, 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.