Ampicillin-sulbactam 1.5 gram solution for injection at Sanford Sheldon Medical Center

118 N 7th Ave, Sheldon, IA · Sanford Health · · NPI 1841200623

Source: hospital's published price file ↗ · Published Mar 4, 2026 · Ingested Aug 12, 2026

$67.06

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.

$83.82

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.

$21.76 with Sanford Health Plan Align vs $68.71 with Multiplan — 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
Sanford Health Plan Align Medicare Replacement $21.76 ↓ -68%
Ucare Medicare Replacement $23.36 ↓ -65%
Great Plains Medicare Advantage Medicare Replacement $23.59 ↓ -65%
Aetna Medicare Replacement $23.59 ↓ -65%
Blue Cross Blue Shield of North Dakota Medicare Replacement $23.59 ↓ -65%
Health Partners Medicare Replacement $23.59 ↓ -65%
United Healthcare Medicare Replacement $23.59 ↓ -65%
Primewest Medicare Replacement $24.05 ↓ -64%
Wellmark HMO $38.17 ↓ -43%
Wellmark PPO $39.70 ↓ -41%
Sanford Health Plan Group Health/True $40.90 ↓ -39%
Sanford Health Plan SD Exchange True $40.90 ↓ -39%
Security Health Plan Commercial $41.99 ↓ -37%
Sanford Health Plan Commercial/ND Pers $48.12 ↓ -28%
Sanford Health Plan SD Exchange Commercial $48.12 ↓ -28%
Health Partners State Employees $50.38 ↓ -25%
Health Partners Commercial $57.26 ↓ -15%
Medica Choice $62.98 ↓ -6%
United Healthcare Commercial + Top 20 $63.74 ↓ -5%
Aetna Commercial $66.34 ↓ -1%
Ucare Commercial $67.07 ↑ +0%
Medica Elect $67.33 ↑ +0%
Healthez Commercial $68.71 ↑ +2%
First Choice Health Network Commercial $68.71 ↑ +2%
Multiplan Commercial $68.71 ↑ +2%

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
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 →