Ampicillin-sulbactam 1.5 gram solution for injection cost in Nebraska
AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION · HCPCS J0295
$6.72
lowest in Nebraska
$41.79
state median
$84.58
highest in Nebraska
$53.86
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| CHI Health Nebraska Heart | Lincoln | $6.72 | $0.67 – $2.28 | 11 |
| CHI Health St. Elizabeth | Lincoln | $7.30 | $0.64 – $2.77 | 11 |
| CHI Health St. Francis | Grand Island | $8.61 | $0.64 – $2.77 | 12 |
| CHI Health Good Samaritan | Kearney | $8.90 | $0.59 – $2.77 | 12 |
| CHI Health St. Mary's | Nebraska City | $12.11 | $0.60 – $2.66 | 16 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $41.79 | $1.65 – $84.58 | 13 |
| Lasting Hope Recovery Center | Omaha | $41.79 | $2.09 – $84.58 | 12 |
| CHI Health Immanuel | Omaha | $41.79 | $1.65 – $84.58 | 13 |
| CHI Health Lakeside | Omaha | $41.79 | $1.65 – $84.58 | 13 |
| CHI Health Midlands | Papillion | $41.79 | $1.65 – $84.58 | 13 |
| CHI Health Plainview | Plainview | $83.58 | $60.70 – $134.75 | 19 |
| CHI Health Schuyler | Schuyler | $84.58 | $21.32 – $112.66 | 18 |