Ampicillin-sulbactam 1.5 gram solution for injection at Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.)
1116 Millis Ave, Boonville, IN · Ascension · · NPI 1205828803
$66.51
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.
$110.85
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.
$1.77 with PATOKA VALLEY TIER 2 vs $5.90 with UNIFIED GROUP SERVICES — 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 |
|---|---|---|---|
| PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $1.77 | ↓ -97% |
| PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $1.77 | ↓ -97% |
| PATOKA VALLEY TIER 2 | 9414_PAKOTA VALLEY TIER 2 SWIN 20250101 | $1.77 | ↓ -97% |
| ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $1.77 | ↓ -97% |
| ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $1.77 | ↓ -97% |
| ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $1.77 | ↓ -97% |
| ANTHEM HEALTHSYNC POS | 9402_ANTHEM HEALTHSYNC POS SWIN 20250101 | $1.77 | ↓ -97% |
| ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $1.77 | ↓ -97% |
| ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $1.77 | ↓ -97% |
| ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $1.77 | ↓ -97% |
| PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $1.77 | ↓ -97% |
| PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $1.77 | ↓ -97% |
| PATOKA VALLEY TIER 1 | 9411_PAKOTA VALLEY TIER 1 SWIN 20250101 | $1.77 | ↓ -97% |
| ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $1.77 | ↓ -97% |
| ANTHEM HEALTHSYNC HMO | 9400_ANTHEM HEALTHSYNC HMO SWIN 20250101 | $1.77 | ↓ -97% |
| ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $1.77 | ↓ -97% |
| ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $1.77 | ↓ -97% |
| MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $1.83 | ↓ -97% |
| MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $1.83 | ↓ -97% |
| ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $1.83 | ↓ -97% |
| MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $1.83 | ↓ -97% |
| MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $1.83 | ↓ -97% |
| MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $1.83 | ↓ -97% |
| MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $1.83 | ↓ -97% |
| ANTHEM CARE CONNECT | 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $1.83 | ↓ -97% |
| ANTHEM CARE CONNECT | 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $1.83 | ↓ -97% |
| UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $2.92 | ↓ -96% |
| UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $2.92 | ↓ -96% |
| AETNA | 9398_AETNA VEIN 20250101 | $4.55 | ↓ -93% |
| UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $4.89 | ↓ -93% |
| UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $4.89 | ↓ -93% |
| UNIFIED GROUP SERVICES | 4819_ANTHEM UNIFIED GROUPS 20210401 | $5.90 | ↓ -91% |
Visitor-reported prices
Comments
Ampicillin-sulbactam 1.5 gram solution for injection at other Indiana hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo | $66.51 | $1.77 – $5.90 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel | $66.51 | $1.77 – $5.90 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel | $66.51 | $1.77 – $5.90 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis | $66.51 | $1.77 – $5.90 |
| Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) | Indianapolis | $66.51 | $1.77 – $5.90 |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem | $66.51 | $1.77 – $5.90 |
| Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) | Winchester | $66.51 | $1.77 – $5.90 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson | $66.51 | $1.77 – $5.90 |