Ampicillin and sulbactam injection, 3 g at Windom Area Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

AMPICILLIN-SULBACTAM 3000 MG VIAL (ADDEASE)

Windom, MN

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How this price compares nationally

Windom Area Hospital’s median price of $31 is 106% above the median hospital's median price ($15), higher than 72% of the 2,308 hospitals reporting HCPCS J0295. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0295 at Windom Area Hospital

Negotiated rates from the hospital’s own file: 9 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	Bcbs Mn pmap facility · percent of total billed charges · inpatientfrom % of charges	$24	$24	$0	2%	—	$23 – $25
2	Bcbs Mn pmap facility · percent of total billed charges · outpatientfrom % of charges	$24	$24	$0	2%	—	$23 – $25
3	Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · inpatientfrom % of charges	$24	$24	$0	2%	—	$23 – $25
4	Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$24	$24	$0	2%	—	$23 – $25
5	Ucare medicare replacement facility · other · inpatient	$27	$27	—	—	12–120	$27 – $27
6	Aetna medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	$1	2%	—	$27 – $29
7	Blue Cross Blue Shield medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	$1	2%	—	$27 – $29
8	Humana medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	$1	2%	—	$27 – $29
9	Medica medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	$1	2%	—	$27 – $29
10	Ucare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	$1	2%	12–120	$27 – $29
11	UnitedHealthcare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	$1	2%	—	$27 – $29
12	Medica pmap facility · percent of total billed charges · inpatientfrom % of charges	$31	$31	$1	2%	—	$30 – $32
13	Medica pmap facility · percent of total billed charges · outpatientfrom % of charges	$31	$31	$1	2%	—	$30 – $32
14	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$51	$52	$1	2%	—	$50 – $53
15	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$51	$52	$1	2%	—	$50 – $53
16	Bcbs Mn commercial facility · percent of total billed charges · outpatientfrom % of charges	$53	$53	$1	2%	—	$51 – $54
17	Bcbs Nd commercial facility · percent of total billed charges · outpatientfrom % of charges	$53	$53	$1	2%	—	$51 – $54
18	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$53	$53	$1	2%	—	$51 – $54
19	Wellmark commercial facility · percent of total billed charges · outpatientfrom % of charges	$53	$53	$1	2%	—	$51 – $54
20	Medica commercial facility · percent of total billed charges · inpatientfrom % of charges	$59	$59	$1	2%	—	$57 – $61
21	Medica commercial facility · percent of total billed charges · outpatientfrom % of charges	$59	$59	$1	2%	—	$57 – $61

Last updated: Feb 3, 2026

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