Ampicillin-sulbactam 1.5 gram solution for injection at CHI Health Mercy Council Bluffs

800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 16, 2026

$41.79

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.

Full explanation →

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

$99.50

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.

Full explanation →

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

$1.65 with BCBS - NE vs $84.58 with MultiPlan — same scan, same building. Share

Negotiated rates by payer
?

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
BCBS - NE Commercial|BluePrint $1.65 ↓ -96%
Wellmark Commercial|PPO $2.12 ↓ -95%
Wellmark Commercial|HMO $2.12 ↓ -95%
BCBS - NE Commercial|All Other Plans $2.20 ↓ -95%
United Commercial|All Plans $2.71 ↓ -94%
Greater Omaha Packing Commercial|Narrow Network $3.15 ↓ -92%
One World Commercial|Narrow Network $3.15 ↓ -92%
Millard Public Schools Commercial|Narrow Network $3.15 ↓ -92%
Timpte Commercial|Broad Network $3.63 ↓ -91%
Greater Omaha Packing Commercial|Broad Network $3.63 ↓ -91%
Millard Public Schools Commercial|Broad Network $3.63 ↓ -91%
One World Commercial|Broad Network $3.63 ↓ -91%
Medica Commercial|ACO $3.72 ↓ -91%
Medica Commercial|CHI Health $4.69 ↓ -89%
Medica Commercial|All Other Plans $4.91 ↓ -88%
Centene Medicaid|NE Total Care $14.93 ↓ -64%
ELAP Commercial|All Plans $27.86 ↓ -33%
United Medicaid|Community Plan $45.77 ↑ +10%
Medica Commercial|Open Access $51.74 ↑ +24%
QuikTrip Commercial|All Plans $59.70 ↑ +43%
PHCS Commercial|All Plans $70.65 ↑ +69%
Midlands Choice Commercial|Standard $74.63 ↑ +79%
Midlands Choice Commercial|Premier $74.63 ↑ +79%
MultiPlan Commercial|All Plans $84.58 ↑ +102%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

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

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $87.97 not published
MercyOne Dubuque Medical Center Dubuque $14.55 $2.27 – $6.35
MercyOne New Hampton Medical Center New Hampton $24.65 $2.51 – $6.35
MercyOne Dyersville Medical Center Dyersville $14.55 $2.40 – $7.15
MercyOne Clinton Medical Center Clinton $21.85 $2.98 – $12.55
MercyOne Elkader Medical Center Elkader $14.55 $2.98 – $6.64
MercyOne Des Moines Medical Center Des Moines $302.65 $1.28 – $6.35
MercyOne Centerville Medical Center Centerville $14.55 $1.74 – $6.35

All Iowa hospitals for this procedure →