Ampicillin-sulbactam 1.5 gram solution for injection at ST HELENA HOSPITAL

10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082

Source: hospital's published price file ↗ · Published Jul 15, 2026 · Ingested Sep 16, 2026

$22.10

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$147.34

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$2.92 with UMR UHC PPO vs $109.20 with VA MEDI-CAL — 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 →

Payer
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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
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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
UMR UHC PPO UMR UHC PPO $2.92 ↓ -87%
AETNA-ALL PLANS AETNA-ALL PLANS $2.93 ↓ -87%
UHC JLL UHC JLL $3.61 ↓ -84%
UHC SELECT/SELECT PLUS UHC SELECT/SELECT PLUS $3.61 ↓ -84%
UHC OPTIONS PPO UHC OPTIONS PPO $3.61 ↓ -84%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $3.61 ↓ -84%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $15.07 ↓ -32%
BLUE CROSS NON MCS BLUE CROSS NON MCS $16.75 ↓ -24%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $20.10 ↓ -9%
BLUE SHIELD BEHAV HLTH BLUE SHIELD BEHAV HLTH $49.14 ↑ +122%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $50.67 ↑ +129%
BLUE SHIELD EPN-ALL OTHER PLANS BLUE SHIELD EPN-ALL OTHER PLANS $51.43 ↑ +133%
PHCS-ALL PLANS PHCS-ALL PLANS $60.06 ↑ +172%
WESTERN GROWERS-ALL PLANS WESTERN GROWERS-ALL PLANS $63.34 ↑ +187%
INTERPLAN-ALL PLANS INTERPLAN-ALL PLANS $65.52 ↑ +196%
HEALTHNET-ALL PLANS HEALTHNET-ALL PLANS $66.95 ↑ +203%
CHOICECARE-ALL PLANS CHOICECARE-ALL PLANS $76.44 ↑ +246%
BEECH STREET-ALL PLANS BEECH STREET-ALL PLANS $81.90 ↑ +271%
CIGNA-ALL OTHER PLANS CIGNA-ALL OTHER PLANS $87.36 ↑ +295%
KAISER-ALL OTHER PLANS KAISER-ALL OTHER PLANS $89.54 ↑ +305%
HEALTH MANAGEMENT NETWORK-ALL PLANS HEALTH MANAGEMENT NETWORK-ALL PLANS $92.82 ↑ +320%
THREE RIVERS-ALL PLANS THREE RIVERS-ALL PLANS $98.28 ↑ +345%
GALAXY NETWORK-ALL PLANS GALAXY NETWORK-ALL PLANS $98.28 ↑ +345%
VA MEDI-CAL VA MEDI-CAL $109.20 ↑ +394%

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
Vallejo Medical Center VALLEJO $122.50 $1.49 – $1.49
St. John's Camarillo Hospital Camarillo $57.38 $2.71 – $52.26
Redwood City Medical Center Redwood City $122.50 $1.49 – $1.49
Santa Clara Medical Center SANTA CLARA $122.50 $1.49 – $1.49
Baldwin Park Medical Center BALDWIN PARK $113.75 $1.49 – $1.49
Riverside Medical Center RIVERSIDE $113.75 $1.49 – $1.49
Sacramento Medical Center SACRAMENTO $122.50 $1.49 – $1.49
Oakland Medical Center Oakland $122.50 $1.49 – $1.49

All California hospitals for this procedure →