Ampicillin-sulbactam 1.5 gram solution for injection at MercyOne Dubuque Medical Center

250 Mercy Drive, Dubuque, IA · MercyOne · · NPI 1659348506

Source: hospital's published price file ↗ · Published Mar 31, 2026 · Ingested Aug 3, 2026

$14.55

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.

$14.55

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.

$2.27 with PREFERRED HEALTH CHOICE vs $6.35 with UNITED HEALTHCARE — 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
PREFERRED HEALTH CHOICE PREFERRED HEALTH CHOICES $2.27 ↓ -84%
HEALTH CHOICES MEDICAL ASSOCIATES $2.32 ↓ -84%
BLUE CROSS - NM WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - ID WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - VT WELLMARK PPO $2.98 ↓ -80%
KAISER DOMESTIC WELLMARK PPO $2.98 ↓ -80%
BLUE SHIELD - WA (REGENCE) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - IL WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - VA (CAREFIRST) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - MD (CAREFIRST) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - WY WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - AR WELLMARK PPO $2.98 ↓ -80%
PRE-EMPLOYMENT WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - LA WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - TX WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - SC WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - MI WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - MT WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - RI WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - TN WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - FEDERAL WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - NC WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - IL ALTERNATE WELLMARK PPO $2.98 ↓ -80%
BLUE CARE NETWORK WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - AZ WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - HI WELLMARK PPO $2.98 ↓ -80%
BLUE SHIELD - NY HIGHMARK NORTHEASTERN WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - GA (ANTHEM) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - VA (ANTHEM) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - UT (REGENCE) WELLMARK PPO $2.98 ↓ -80%
BLUE SHIELD - CA WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - IA (WELLMARK) WELLMARK HMO $2.98 ↓ -80%
BLUE CROSS - IA (WELLMARK) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - CA (ANTHEM) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - AK (PREMERA) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - WV (HIGHMARK) WELLMARK PPO $2.98 ↓ -80%
BLUE DISTINCTION TRANSPLANT WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - DC (CAREFIRST) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - MA WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - WI (ANTHEM) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - NH (ANTHEM) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - CO (ANTHEM) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - SD (WELLMARK) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - OR (REGENCE) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - NJ (HORIZON) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - PA (CAPITAL) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - ME (ANTHEM) WELLMARK PPO $2.98 ↓ -80%
WC DOMESTIC WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - MN WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - NE WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - OH (ANTHEM) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - FL WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - PA (INDEPENDENCE) WELLMARK PPO $2.98 ↓ -80%
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - KY (ANTHEM) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - DE (HIGHMARK) WELLMARK PPO $2.98 ↓ -80%
BLUE SHIELD - ID (REGENCE) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - ND WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - KS WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - MO (ANTHEM) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - AL WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - WA (PREMERA) WELLMARK PPO $2.98 ↓ -80%
BLUE SHIELD - NY HIGHMARK WESTERN WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - NY (EXCELLUS) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - IN (ANTHEM) WELLMARK PPO $2.98 ↓ -80%
BLUE SHIELD - PA (HIGHMARK) WELLMARK PPO $2.98 ↓ -80%
BCN DOMESTIC WELLMARK PPO $2.98 ↓ -80%
BCBS GENERIC WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - NV (ANTHEM) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - OK WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS DOMESTIC WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - NY (ANTHEM) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - CT (ANTHEM) WELLMARK PPO $2.98 ↓ -80%
BLUE CROSS - MS WELLMARK PPO $2.98 ↓ -80%
UNITED HEALTHCARE UNITED HEALTHCARE $3.43 ↓ -76%
GEHA UNITED HEALTHCARE $3.43 ↓ -76%
MIDLANDS CHOICE MIDLANDS CHOICE EAGLE WINDOW AND DOOR $3.68 ↓ -75%
WPS WISCONSIN PHYSICIAN SERVICES $3.80 ↓ -74%
THE ALLIANCE THE ALLIANCE $3.84 ↓ -74%
MHNET MENTAL HEALTH ASSOCIATES $5.08 ↓ -65%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $5.27 ↓ -64%
ALLIED BENEFIT SYSTEMS AETNA $5.30 ↓ -64%
FIRST HEALTH AETNA $5.30 ↓ -64%
MEDICAL MUTUAL AETNA $5.30 ↓ -64%
MERITAIN AETNA $5.30 ↓ -64%
LUMINARE HEALTH AETNA $5.30 ↓ -64%
CHRISTIAN BROTHER SERVICES AETNA $5.30 ↓ -64%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $5.30 ↓ -64%
ASR HEALTH BENEFITS AETNA $5.30 ↓ -64%
1199 NATIONAL BENEFIT FUND AETNA $5.30 ↓ -64%
LUCENT HEALTH AETNA $5.30 ↓ -64%
AETNA EAP AETNA $5.30 ↓ -64%
AETNA AETNA $5.30 ↓ -64%
WEBTPA AETNA $5.30 ↓ -64%
COVENTRY AETNA $5.30 ↓ -64%
AETNA DOMESTIC AETNA $5.30 ↓ -64%
CIGNA MIDLANDS CHOICE PPO $5.72 ↓ -61%
MULTIPLAN MULTIPLAN $5.72 ↓ -61%
MEDICA MIDLANDS CHOICE PPO $5.72 ↓ -61%
AUXIANT MIDLANDS CHOICE PPO $5.72 ↓ -61%
CIGNA EAP MIDLANDS CHOICE PPO $5.72 ↓ -61%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $5.72 ↓ -61%
UNITY UNITY HMO $5.72 ↓ -61%
MIDLANDS MIDLANDS CHOICE PPO $5.72 ↓ -61%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $6.35 ↓ -56%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $6.35 ↓ -56%
STEPHENSON CTY HEALTH STEPHENSON COUNTY HEALTH $6.35 ↓ -56%
UNITED HEALTHCARE UHC OPTUM BEHAVIORAL HEALTH $6.35 ↓ -56%

Visitor-reported prices

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

Hospital City Cash price Negotiated range
UnityPoint Health - Finley Hospital Dubuque $74.36 $1.57 – $39.30
MercyOne Genesis Davenport West Medical Center Davenport $87.97 not published
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 →