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
INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM
Willits, CA
See all hospitals reporting HCPCS J0295 →Price type
Willits Hospital Inc’s median price of $69 is 356% above the median hospital's median price ($15), higher than 89% 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: 6 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 | UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 2 | UnitedHealthcare uhc jll fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Blue Cross Blue Shield blue shield mcare percent of total billed charges · outpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 4 | Blue Cross Blue Shield tricare blue shield - all plans percent of total billed charges · outpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 5 | UnitedHealthcare uhc mcr adv percent of total billed charges · outpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 6 | Blue Cross Blue Shield blue cross non mcs fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 7 | Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 8 | Aetna aetna - all plans percent of total billed charges · outpatientfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 9 | Blue Cross Blue Shield blue shield epn percent of total billed charges · outpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 10 | Blue Cross Blue Shield blue shield - all other plans percent of total billed charges · outpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 11 | First Health first health ppo - all plans percent of total billed charges · outpatientfrom % of charges | $82 | $82 | — | — | — | $82 – $82 |
| 12 | Cigna cigna - all plans percent of total billed charges · outpatientfrom % of charges | $87 | $87 | — | — | — | $87 – $87 |
| 13 | Medicaid medi-cal fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
Last updated: May 20, 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.