Ampicillin-sulbactam 1.5 gram solution for injection at Northwestern Medicine McHenry Hospital

4201 Medical Center Drive, McHenry, IL · Nm · · NPI 1427065499

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 17, 2026

$38.85

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.

$55.50

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.

$1.83 with AETNA HEALTH PLAN [171] vs $9.50 with MULTIPLAN/PHCS [142] — 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
AETNA HEALTH PLAN [171] NWR AETNA NM EMPLOYEES $1.83 ↓ -95%
MERCY CARE HEALTH PLANS [5013] NWR MERCY CARE $2.88 ↓ -93%
ALTERNATE BLUE CROSS [1402] NWR BCBS PPO $3.22 ↓ -92%
BLUE CROSS BLUE SHIELD [1401] NWR BCBS PPO $3.22 ↓ -92%
AETNA HEALTH PLAN [171] NWR AETNA APCN/SP $3.27 ↓ -92%
AETNA HEALTH PLAN [171] NWR AETNA IL PREFERRED $3.37 ↓ -91%
ALTERNATE BLUE CROSS [1402] NWR BCBS HMO $3.39 ↓ -91%
BLUE CROSS BLUE SHIELD [1401] NWR BCBS HMO $3.39 ↓ -91%
BLUE CROSS BLUE SHIELD [1401] NWR BCBS BLUECHOICE OPTIONS $4.54 ↓ -88%
BLUE CROSS BLUE SHIELD [1401] NWR BCBS BLUECHOICE PREFERRED $4.54 ↓ -88%
BLUE CROSS BLUE SHIELD [1401] NWR BCBS BLUECHOICE SELECT $4.54 ↓ -88%
HEALTHLINK [125] NWR SEIU HEALTHLINK $4.75 ↓ -88%
AETNA HEALTH PLAN [171] NWR AETNA ASA $4.99 ↓ -87%
CHOICECARE [177] NWR CHOICE CARE $5.05 ↓ -87%
MULTIPLAN/PHCS [142] NWR PHCS PPO $5.99 ↓ -85%
HEALTH'S FINEST NETWORK [126] NWR HFN PLATINUM EPO $6.65 ↓ -83%
HEALTH'S FINEST NETWORK [126] NWR HFN PPO $6.94 ↓ -82%
CIGNA HEALTH PLAN [178] NWR CIGNA BEHAVORIAL BHS $7.13 ↓ -82%
BEECHSTREET [176] NWR BEECHSTREET $7.60 ↓ -80%
BLUE CROSS BLUE SHIELD [1401] NWR BCBS PAR/INDEMNITY ADP $9.50 ↓ -76%
MULTIPLAN/PHCS [142] NWR NON-CONTRACTED PAYORS $9.50 ↓ -76%
ALTERNATE HUMANA MEDICARE ADV [2409] NWR HUMANA MEDICARE ADVT not published by hospital
GLOBAL EXCEL [1712] NWR MEDICARE not published by hospital
ALTERNATE BLUE CROSS MEDICARE ADV [2304] NWR BLUE CROSS MEDICARE ADVT not published by hospital

Visitor-reported prices

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

Hospital City Cash price Negotiated range
MercyOne Genesis Silvis Medical Center Silvis $87.97 $18.77 – $51.03
MercyOne Genesis Aledo Medical Center Aledo $87.97 $5.38 – $27.57
Uchicago Medicine Adventhealth Hinsdale Hinsdale $49.89 $3.92 – $3.92
Advocate Christ Medical Center Oak Lawn $64.48 $3.20 – $49.70
Northwestern Memorial Hospital Chicago $185.85 not published
Advocate Condell Medical Center Libertyville $64.50 $4.04 – $53.24
Advocate Good Samaritan Hospital Downers Grove $64.50 $3.20 – $51.70
UnityPoint Health - Trinity Moline Rock Island $74.79 $0.14 – $7.28

All Illinois hospitals for this procedure →