Ampicillin-sulbactam 1.5 gram solution for injection at Sanford Westbrook Hospital

920 Bell Ave, Westbrook, MN · Sanford Health · · NPI 1942253547

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

$63.96

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.

$79.94

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.

$18.59 with Blue Cross Blue Shield of Minnesota vs $72.17 with Medica — 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
Blue Cross Blue Shield of Minnesota PMAP $18.59 ↓ -71%
Sanford Health Plan Align Medicare Replacement $32.86 ↓ -49%
Ucare Medicare Replacement $35.24 ↓ -45%
Wellmark SD Medicare Replacement $35.24 ↓ -45%
Aetna Medicare Replacement $35.63 ↓ -44%
United Healthcare Medicare Replacement $35.63 ↓ -44%
Health Partners Medicare Replacement $35.63 ↓ -44%
Great Plains Medicare Advantage Medicare Replacement $35.63 ↓ -44%
Primewest Medicare Replacement $36.28 ↓ -43%
Primewest Medicaid Managed Care $38.85 ↓ -39%
Security Health Plan Commercial $42.23 ↓ -34%
Health Partners State Employees $52.90 ↓ -17%
Sanford Health Plan SD Exchange True $60.61 ↓ -5%
Sanford Health Plan Group Health/True $60.61 ↓ -5%
Health Partners Commercial $61.42 ↓ -4%
Blue Cross Blue Shield of Minnesota State Employees $62.81 ↓ -2%
United Healthcare Commercial + Top 20 $64.11 ↑ +0%
Aetna Commercial $66.72 ↑ +4%
Ucare Commercial $67.46 ↑ +5%
Medica Choice $67.49 ↑ +6%
Healthez Commercial $69.10 ↑ +8%
Cigna Commercial $69.10 ↑ +8%
Multiplan Commercial $69.10 ↑ +8%
First Choice Health Network Commercial $69.10 ↑ +8%
Blue Cross Blue Shield of Minnesota Commercial/Federal $71.04 ↑ +11%
Sanford Health Plan SD Exchange Commercial $71.31 ↑ +11%
Sanford Health Plan Commercial/ND Pers $71.31 ↑ +11%
Medica Elect $72.17 ↑ +13%
Ucare Medicaid Managed Care not published by hospital —

Visitor-reported prices

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

Hospital City Cash price Negotiated range
Sanford Canby Medical Center Canby $66.07 $18.47 – $68.68
Sanford Bagley Medical Center Bagley $52.99 $15.01 – $55.81
Sanford Wheaton Wheaton $27.96 $7.58 – $28.18
Sanford Luverne Medical Center Luverne $83.52 $18.58 – $69.08
Sanford Bemidji Medical Center Bemidji $73.05 $1.02 – $8.18
Sanford Worthington Medical Center Worthington $66.54 $1.00 – $68.71
Sanford Tracy Hospital Tracy $62.74 $18.66 – $69.38
Sanford Thief River Falls Medical Center Thief River Falls $75.10 $15.29 – $40.06

All Minnesota hospitals for this procedure →