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 100 MG/ML RECONSTITUTION (0.5,1,2,10 G VIAL)
McCall, ID
See all hospitals reporting HCPCS J0290 →Price type
St Luke's McCall, LTD’s median price of $19 is 76% above the median hospital's median price ($11), higher than 66% of the 2,323 hospitals reporting HCPCS J0290. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 13 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 hb mccall cigna fee schedule · outpatient | $1 | $2 | $1 | 44% | — | $1 – $3 |
| 2 | Molina hb mccall molina mmcp percent of total billed charges · bothfrom % of charges | $14 | $21 | $13 | 64% | — | $6 – $41 |
| 3 | Regence hb mccall medicare advantage percent of total billed charges · bothfrom % of charges | $14 | $21 | $13 | 64% | — | $6 – $41 |
| 4 | Blue Cross Blue Shield hb mccall bci true & secure med adv percent of total billed charges · bothfrom % of charges | $14 | $21 | $14 | 64% | — | $6 – $42 |
| 5 | Molina hb mccall molina med adv percent of total billed charges · bothfrom % of charges | $14 | $21 | $14 | 64% | — | $6 – $42 |
| 6 | Aetna hb mccall aetna med adv percent of total billed charges · bothfrom % of charges | $15 | $23 | $15 | 64% | — | $7 – $45 |
| 7 | Bcbs Id hb mccall bci percent of total billed charges · bothfrom % of charges | $21 | $32 | $20 | 64% | — | $9 – $63 |
| 8 | Blue Cross Blue Shield hb mccall bci percent of total billed charges · bothfrom % of charges | $21 | $32 | $20 | 64% | — | $9 – $63 |
| 9 | Aetna hb mccall aetna trinity health (st al's) percent of total billed charges · bothfrom % of charges | $21 | $33 | $21 | 64% | — | $9 – $64 |
| 10 | Cigna hb mccall cigna percent of total billed charges · inpatientfrom % of charges | $22 | $34 | $22 | 64% | — | $10 – $66 |
| 11 | Aetna hb mccall bp aetna percent of total billed charges · bothfrom % of charges | $22 | $34 | $22 | 64% | — | $10 – $68 |
| 12 | First Health hb mccall first choice health percent of total billed charges · bothfrom % of charges | $22 | $34 | $22 | 64% | — | $10 – $68 |
| 13 | UnitedHealthcare hb mccall united healthcare percent of total billed charges · bothfrom % of charges | $22 | $35 | $22 | 64% | — | $10 – $68 |
Last updated: Mar 25, 2026
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