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 1.5 GRAM SOLUTION FOR INJECTION|DISCARDED DRUG NOT ADMINISTE
McCall, ID
See all hospitals reporting HCPCS J0295 →Price type
St Luke's McCall, LTD’s median price of $14 is 6% below the median hospital's median price ($15), higher than 48% 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: 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 | $2 | $2 | $1 | 34% | — | $2 – $3 |
| 2 | Molina hb mccall molina mmcp percent of total billed charges · bothfrom % of charges | $11 | $14 | $9 | 68% | — | $3 – $39 |
| 3 | Regence hb mccall medicare advantage percent of total billed charges · bothfrom % of charges | $11 | $14 | $9 | 68% | — | $3 – $39 |
| 4 | Blue Cross Blue Shield hb mccall bci true & secure med adv percent of total billed charges · bothfrom % of charges | $12 | $14 | $10 | 68% | — | $3 – $40 |
| 5 | Molina hb mccall molina med adv percent of total billed charges · bothfrom % of charges | $12 | $14 | $10 | 68% | — | $3 – $40 |
| 6 | Aetna hb mccall aetna med adv percent of total billed charges · bothfrom % of charges | $13 | $15 | $10 | 68% | — | $4 – $43 |
| 7 | Bcbs Id hb mccall bci percent of total billed charges · bothfrom % of charges | $17 | $21 | $14 | 68% | — | $5 – $59 |
| 8 | Blue Cross Blue Shield hb mccall bci percent of total billed charges · bothfrom % of charges | $17 | $21 | $14 | 68% | — | $5 – $59 |
| 9 | Aetna hb mccall aetna trinity health (st al's) percent of total billed charges · bothfrom % of charges | $18 | $22 | $15 | 68% | — | $5 – $61 |
| 10 | Cigna hb mccall cigna percent of total billed charges · inpatientfrom % of charges | $18 | $22 | $15 | 68% | — | $5 – $63 |
| 11 | Aetna hb mccall bp aetna percent of total billed charges · bothfrom % of charges | $19 | $23 | $15 | 68% | — | $6 – $64 |
| 12 | First Health hb mccall first choice health percent of total billed charges · bothfrom % of charges | $19 | $23 | $15 | 68% | — | $6 – $64 |
| 13 | UnitedHealthcare hb mccall united healthcare percent of total billed charges · bothfrom % of charges | $19 | $23 | $16 | 68% | — | $6 – $65 |
Last updated: Mar 25, 2026
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