Ampicillin-sulbactam 1.5 gram solution for injection at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$62.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$137.76
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$2.71 with United vs $62.90 with First Health — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United | Commercial|All Other Plans | $2.71 | ↓ -96% |
| United | Commercial|HMO | $2.71 | ↓ -96% |
| Blue Shield CA | Commercial|DHMF | $2.80 | ↓ -95% |
| United | Commercial|Options PPO | $2.92 | ↓ -95% |
| Cigna | Commercial|LocalPlus | $4.47 | ↓ -93% |
| United | Commercial|Non-Options PPO | $4.50 | ↓ -93% |
| Cigna | Commercial|All Other Plans | $4.76 | ↓ -92% |
| Blue Shield CA | Commercial|ACO Trio | $6.43 | ↓ -90% |
| Blue Shield CA | Commercial|All Other Plans | $6.43 | ↓ -90% |
| Blue Shield CA | Commercial|Exchange | $6.43 | ↓ -90% |
| Aetna | Commercial|HMO | $8.09 | ↓ -87% |
| Aetna | Commercial|PPO | $8.14 | ↓ -87% |
| Health Net | Commercial|Community Care | $8.47 | ↓ -86% |
| Health Net | Commercial|Care Product | $10.28 | ↓ -83% |
| Health Net | Commercial|Blue Gold | $10.43 | ↓ -83% |
| Health Net | Commercial|All Other Plans | $11.50 | ↓ -81% |
| BCBS - Anthem | Commercial|All Other Plans | $13.31 | ↓ -79% |
| BCBS - Anthem | Commercial|MCS | $18.60 | ↓ -70% |
| Central California Alliance for Health | Medicaid|All Plans | $21.46 | ↓ -65% |
| Kaiser | Commercial|All Plans | $48.10 | ↓ -22% |
| Western Growers | Commercial|All Plans | $50.32 | ↓ -19% |
| Healthsmart | Commercial|All Plans | $59.20 | ↓ -5% |
| Multiplan | Commercial|All Plans | $62.90 | ↑ +1% |
| First Health | Commercial|All Plans | $62.90 | ↑ +1% |
Visitor-reported prices
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Ampicillin-sulbactam 1.5 gram solution for injection at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $57.38 | $2.71 – $52.26 |
| Petaluma Valley Hospital | Petaluma | $93.72 | $3.15 – $9.06 |
| Arroyo Grande Hospital | Santa Maria | $74.05 | $2.71 – $52.92 |
| French Hospital | San Luis Obispo | $36.46 | $2.71 – $52.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $55.28 | $2.67 – $20.80 |
| Bakersfield Memorial Hospital | Bakersfield | $54.69 | $2.59 – $20.54 |
| Queen of The Valley Medical Center | Napa | $93.72 | $3.15 – $9.80 |
| Providence St Joseph Hospital Eureka | Eureka | $93.72 | $2.99 – $11.69 |