Ampicillin-sulbactam 1.5 gram solution for injection cost in Texas
AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION · HCPCS J0295
$4.20
lowest in Texas
$52.65
state median
$275.90
highest in Texas
$51.93
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $4.20 | $0.36 – $2.79 | 21 |
| St. Joseph Health Burleson Hospital | Caldwell | $4.20 | $0.48 – $2.79 | 19 |
| St. Joseph Health College Station Hospital | College Station | $4.20 | $0.48 – $2.79 | 8 |
| St. Joseph Health Grimes Hospital | Navasota | $4.20 | $0.48 – $3.10 | 18 |
| St. Luke's Health - Patients Medical Center | Pasadena | $24.85 | $2.34 – $53.25 | 9 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $31.33 | $2.81 – $13.16 | 4 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $40.62 | $2.34 – $54.79 | 24 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $40.62 | $2.34 – $54.79 | 23 |
| St. Luke's Health - The Vintage Hospital | Houston | $40.62 | $2.34 – $54.79 | 23 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $40.62 | $2.34 – $54.79 | 23 |
| Baylor St Luke's Medical Center | Houston | $40.62 | $2.83 – $54.79 | 24 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $52.65 | $2.81 – $13.16 | 4 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $52.65 | $2.81 – $13.16 | 4 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $52.65 | $2.81 – $13.16 | 4 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $52.65 | $2.81 – $13.16 | 4 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $52.65 | $2.81 – $13.16 | 4 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $52.65 | $2.81 – $13.16 | 4 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $55.45 | $2.32 – $29.35 | 7 |
| Ascension Providence | Waco | $76.77 | $2.37 – $10.90 | 6 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $102.38 | $2.81 – $13.16 | 4 |
| Texas Health Hospital Mansfield | Mansfield | $127.02 | $4.15 – $4.15 | 1 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | $127.02 | $4.15 – $4.15 | 1 |
| Adventhealth Central Texas | Killeen | $198.60 | $12.09 – $12.09 | 1 |
| Adventhealth Rollins Brook | Lampasas | $198.60 | $12.09 – $12.09 | 1 |
| St. Luke's Health Memorial Livingston | Livingston | $275.90 | $2.28 – $35.06 | 10 |
| St. Luke's Health Memorial Lufkin | Lufkin | $275.90 | $2.28 – $35.06 | 10 |
| St. Luke's Health Memorial San Augustine | San Augustine | $275.90 | $2.28 – $35.06 | 10 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1.57 – $27.27 | 6 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $1.57 – $27.27 | 5 |
| HCA HOUSTON WEST | HOUSTON | not published | $1.33 – $27.27 | 6 |
| HCA HOUSTON PEARLAND | Pearland | not published | $1.57 – $27.27 | 6 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $1.57 – $27.27 | 6 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $1.33 – $27.27 | 6 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1.57 – $27.27 | 6 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $1.57 – $27.27 | 6 |
| HCA HOUSTON CONROE | CONROE | not published | $1.33 – $27.27 | 5 |