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 IVPB 30 MG/ML (PEDIATRICS)
O'Fallon, MO
See all hospitals reporting HCPCS J0295 →Price type
Progress West Hospital’s median price of $14 is 4% below the median hospital's median price ($15), higher than 49% of the 2,308 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: 11 payers, 21 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 | Cigna bjc hb cigna local plus community fee schedule · both | $4 | $7 | $6 | 98% | — | $2 – $22 |
| 2 | UnitedHealthcare bjc hb united health care community fee schedule · both | $4 | $7 | $6 | 98% | — | $2 – $22 |
| 3 | Cigna bjc hb cigna hmo/ppo community fee schedule · both | $5 | $7 | $7 | 98% | — | $2 – $25 |
| 4 | Cigna bjc hb cigna special community fee schedule · both | $5 | $7 | $7 | 98% | 1–10 | $2 – $25 |
| 5 | Blue Cross Blue Shield bjc hb anthem choice community fee schedule · both | $7 | $11 | $10 | 98% | 2–20 | $4 – $35 |
| 6 | Blue Cross Blue Shield bjc hb anthem access community fee schedule · both | $7 | $11 | $10 | 98% | 33 | $4 – $36 |
| 7 | Humana bjc hb humana choicecare community percent of total billed charges · bothfrom % of charges | $15 | $34 | $49 | 146% | — | $6 – $144 |
| 8 | Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges | $21 | $47 | $68 | 146% | — | $8 – $200 |
| 9 | Aetna bjc hb first health percent of total billed charges · bothfrom % of charges | $21 | $47 | $68 | 146% | — | $8 – $200 |
| 10 | First Health bjc hb first health percent of total billed charges · bothfrom % of charges | $21 | $47 | $68 | 146% | — | $8 – $200 |
| 11 | UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges | $21 | $47 | $68 | 146% | — | $8 – $200 |
| 12 | Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges | $21 | $47 | $69 | 146% | — | $8 – $201 |
| 13 | Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges | $21 | $47 | $69 | 146% | — | $8 – $201 |
| 14 | MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges | $21 | $47 | $69 | 146% | — | $8 – $201 |
| 15 | Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges | $21 | $47 | $69 | 146% | — | $8 – $201 |
| 16 | Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $22 | $51 | $74 | 146% | — | $8 – $215 |
| 17 | Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $22 | $51 | $74 | 146% | — | $8 – $215 |
| 18 | Blue Cross Blue Shield bjc hb anthem alliance epo percent of total billed charges · bothfrom % of charges | $23 | $54 | $78 | 146% | — | $9 – $228 |
| 19 | Blue Cross Blue Shield bjc hb anthem blue preferred percent of total billed charges · bothfrom % of charges | $23 | $54 | $78 | 146% | — | $9 – $228 |
| 20 | Blue Cross Blue Shield bjc hb anthem traditional percent of total billed charges · bothfrom % of charges | $24 | $55 | $80 | 146% | — | $9 – $234 |
| 21 | Magellan bjc hb mh magellan hmo/ppo 100% percent of total billed charges · bothfrom % of charges | $28 | $63 | $92 | 146% | — | $11 – $269 |
Last updated: Dec 15, 2025
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.