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 per 1.5 g
San Angelo, TX
See all hospitals reporting HCPCS J0295 →Price type
Shannon River Crest Hospital’s median price of $28 is 83% above the median hospital's median price ($15), higher than 68% 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: 6 payers, 15 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 | Bcbs Tx hmo facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Bcbs Tx bav facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 3 | Bcbs Tx ppo facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 4 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $30 | $35 | $14 | 41% | — | $22 – $63 |
| 5 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $30 | $35 | $14 | 41% | — | $22 – $63 |
| 6 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $33 | $38 | $16 | 41% | — | $24 – $69 |
| 7 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $34 | $39 | $16 | 41% | — | $25 – $72 |
| 8 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $34 | $39 | $16 | 41% | — | $25 – $72 |
| 9 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $34 | $39 | $16 | 41% | — | $25 – $72 |
| 10 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $34 | $39 | $16 | 41% | — | $25 – $72 |
| 11 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $34 | $39 | $16 | 41% | — | $25 – $72 |
| 12 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $35 | $41 | $17 | 41% | — | $26 – $74 |
| 13 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $35 | $41 | $17 | 41% | 6–60 | $26 – $74 |
| 14 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $36 | $42 | $17 | 41% | — | $27 – $76 |
| 15 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $36 | $42 | $17 | 41% | — | $27 – $76 |
Last updated: Dec 8, 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.