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 IN NS IV SYRINGE 30 MG/ML AMPICILLIN (NEO/PED) - CNR
Dublin, OH
See all hospitals reporting HCPCS J0295 →Price type
Mount Carmel Dublin’s median price of $4 is 75% below the median hospital's median price ($15), higher than 25% 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: 12 payers, 17 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 aetna asa meritain facility · percent of total billed charges · bothfrom % of charges | $4 | $3 | $1 | 32% | — | $2 – $4 |
| 2 | Medcost cofinity facility · percent of total billed charges · bothfrom % of charges | $4 | $3 | $1 | 31% | — | $2 – $4 |
| 3 | Medical Mutual medical mutual medflex facility · fee schedule · both | $3 | $3 | — | — | — | $3 – $3 |
| 4 | Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges | $4 | $3 | $1 | 32% | — | $2 – $4 |
| 5 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $4 | $3 | $1 | 32% | — | $2 – $4 |
| 6 | Humana choice care humana facility · percent of total billed charges · bothfrom % of charges | $4 | $4 | $1 | 31% | — | $2 – $4 |
| 7 | Humana humana one facility · percent of total billed charges · bothfrom % of charges | $4 | $4 | $1 | 31% | — | $2 – $4 |
| 8 | First Health aetna first health facility · percent of total billed charges · bothfrom % of charges | $4 | $4 | $1 | 31% | — | $2 – $5 |
| 9 | UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges | $4 | $4 | $1 | 31% | — | $2 – $5 |
| 10 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $5 | $4 | $1 | 32% | — | $2 – $5 |
| 11 | Medical Mutual medical mutual supermed ppo pos hmo facility · fee schedule · both | $5 | $5 | — | — | — | $5 – $5 |
| 12 | Oscar oscar facility · fee schedule · both | $5 | $5 | — | — | — | $5 – $5 |
| 13 | MultiPlan multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $6 | $6 | $2 | 31% | — | $3 – $7 |
| 14 | Phcs multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $6 | $6 | $2 | 31% | — | $3 – $7 |
| 15 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges | $8 | $7 | $2 | 31% | — | $4 – $9 |
| 16 | Anthem anthem bcbs blue trad facility · percent of total billed charges · bothfrom % of charges | $8 | $7 | $2 | 31% | — | $4 – $9 |
| 17 | Humana humana medicaid facility · percent of total billed charges · bothfrom % of charges | $8 | $7 | $2 | 31% | — | $4 – $9 |
Last updated: Mar 31, 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.