Ampicillin-sulbactam 1.5 gram solution for injection at HCA FLORIDA FORT WALTON-DESTIN HOSPITAL

1809 GRANADA ST, NAVARRE, FL · HCA Florida Healthcare · · NPI 1639128820

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 10, 2026

not published by hospital

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.

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

not published by hospital

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.

$1.52 with Humana vs $15,000.00 with American Health Plan — 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
Humana TRICARE $1.52
United AllPayerAppendix $3.52
BCBS MCRPPO $6.19
BCBS MCRHMO $6.22
Aetna MCR $8.90
BCBS BSL $14.19
BCBS MBN $14.19
BCBS SBN $14.19
BCBS PPO $19.22
BCBS NWB $19.22
BCBS HMO $19.48
Simply MGMCR $19.87
United OptionsPPO $26.57
BCBS PHS $33.41
Aetna ASA $38.70
Molina Healthcare HIX $41.28
United GlobalBenefitPlan $58.05
Plotkin Health COMM $64.50
Prime Health Sheriff WORKERSCOMP $64.50
Prime Health Sheriff COMM $64.50
AvMed HIXOON $64.50
Evolutions Healthcare MANAGEDCAREPPO $83.85
Naphcare Prison $83.85
Multiplan Primary $100.62
Evernorth BHCOMM $103.20
PPO Next COMM $109.65
PPO Next PPO $109.65
Multiplan Complementary $109.65
Evolutions Healthcare TRADITIONALPPO $116.10
NovaNet COMM $116.10
Beacon Health Options MCR $129.00
American Health Plan MCR $15,000.00
Aetna HMO not published by hospital
Aetna QHP not published by hospital
Aetna PPO not published by hospital

Visitor-reported prices

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Ampicillin-sulbactam 1.5 gram solution for injection at other Florida hospitals

Hospital City Cash price Negotiated range
Adventhealth Daytona Beach Daytona Beach $124.74 not published
Adventhealth Lake Wales Lake Wales $339.08 not published
Adventhealth Palm Coast Parkway Palm Coast $107.55 not published
Adventhealth Tampa Tampa $186.50 not published
AdventHealth New Smyrna Beach New Smyrna Beach $152.40 not published
Adventhealth Port Charlotte Port Charlotte $457.30 not published
HCA FLORIDA JFK HOSPITAL PALM BEACH GARDENS $208.00 $1.52 – $2.19
Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) Jacksonville $77.46 $1.92 – $2.46

All Florida hospitals for this procedure →