Ampicillin-sulbactam 1.5 gram solution for injection at Mercy Hospital Southeast

1701 Lacey St, Cape Girardeau, MO · Mercy · · NPI 1811006661

Source: hospital's published price file ↗ · Published Jun 11, 2026 · Ingested Sep 8, 2026

$13.65

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.

$21.00

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.

$1.30 with MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] vs $17.00 with HUMANA CONTRACTED [320193] — 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
MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $1.30 ↓ -90%
MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $1.30 ↓ -90%
MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $1.30 ↓ -90%
MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $1.30 ↓ -90%
AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $1.30 ↓ -90%
BLUE CROSS AND BLUE SHIELD [20053] HB CAPE ANTHEM TRAD $2.53 ↓ -81%
MEDICAID [20240] HB STLO CAPE IL MEDICAID $3.00 ↓ -78%
COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] HB STLO CAPE IL MEDICAID $3.00 ↓ -78%
UNITED HEALTHCARE MEDICAID CONTRACTED [320397] HB CAPE UHC MANAGED MEDICAID $4.00 ↓ -71%
BCBS MEDICAID CONTRACTED [320046] HB CAPE MISSOURI CARE HEALTH PLAN/HEALTHY BLUE $4.00 ↓ -71%
MEDICAID PENDING [20241] HB CAPE MISSOURI CARE HEALTH PLAN/HEALTHY BLUE $4.00 ↓ -71%
MEDICAID PENDING [20241] HB CAPE HOME STATE MANAGED MEDICAID $4.00 ↓ -71%
MEDICAID [20240] HB CAPE MO MEDICAID $4.00 ↓ -71%
HOME STATE MEDICAID CONTRACTED [320189] HB CAPE HOME STATE MANAGED MEDICAID $4.00 ↓ -71%
HEALTH ALLIANCE CONTRACTED [320164] HB CAPE STOD HEALTH ALLIANCE MEDICAL PLAN COMMERCIAL (HAMP) $9.00 ↓ -34%
BLUE CROSS AND BLUE SHIELD [20053] HB STLO WASH JEFN LINC SAMC CAPE STOD PCMH BCBS ASCENSION $9.50 ↓ -30%
AETNA CONTRACTED [320008] HB CAPE AETNA COMMERCIAL / FIRST HEALTH $12.80 ↓ -6%
FIRST HEALTH CONTRACTED [320128] HB CAPE AETNA COMMERCIAL / FIRST HEALTH $12.80 ↓ -6%
AITHER HEALTH CONTRACTED [320449] HB CAPE STOD LACLEDE CHAIN DEC NEW 11.01.25 $13.60 ↓ -0%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB CAPE STOD SAPAUGH AUTO DEC 010125 $13.60 ↓ -0%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB CAPE STOD TALL TREE DEC NEW 11.01.25 $13.60 ↓ -0%
YUZU HEALTH CONTRACTED [320521] HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 $13.60 ↓ -0%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB CAPE STOD HERMANN DEC 010125 $13.60 ↓ -0%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB CAPE STOD EASTER SEALS DEC NEW 010125 $13.60 ↓ -0%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB CAPE STOD BARTEL DEC NEW 11.01.25 $13.60 ↓ -0%
HEALTHLINK CONTRACTED [320179] HB CAPE STOD SAPAUGH AUTO DEC 010125 $13.60 ↓ -0%
MERCY BENEFIT ADMIN [20251] HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 $13.60 ↓ -0%
AITHER HEALTH CONTRACTED [320449] HB CAPE STOD WOODARD DEC NEW 110125 $13.60 ↓ -0%
AITHER HEALTH CONTRACTED [320449] HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 $13.60 ↓ -0%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 $13.60 ↓ -0%
EDISON HEALTH SOLUTIONS CONTRACTED [320502] HB CAPE STOD WOODARD DEC NEW 110125 $13.60 ↓ -0%
YUZU HEALTH CONTRACTED [320521] HB CAPE STOD LEVEL HEALTH DEC NEW 01.01.26 $13.60 ↓ -0%
CIGNA HEALTHCARE CONTRACTED [320071] HB CAPE CIGNA COMMERCIAL $14.00 ↑ +3%
HEALTHLINK CONTRACTED [320179] HB CAPE HEALTHLINK HMO $14.00 ↑ +3%
HEALTHLINK CONTRACTED [320179] HB CAPE HEALTHLINK STATE OF ILLINOIS $14.00 ↑ +3%
WORKERS COMP [20426] HB STLO SAMC CAPE STOD GENERIC WORK COMP CONTRACT $15.00 ↑ +10%
HEALTHLINK CONTRACTED [320179] HB CAPE HEALTHLINK PPO/WC $15.60 ↑ +14%
MULTIPLAN CONTRACTED [320270] HB CAPE MULTIPLAN/PHCS $16.00 ↑ +17%
WORKERS COMP [20426] HB STLO WASH JEFN LINC SAMC PCMH CAPE STOD OHA NETWORK WORK COMP $16.00 ↑ +17%
PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] HB CAPE MULTIPLAN/PHCS $16.00 ↑ +17%
HUMANA CONTRACTED [320193] HB CAPE HUMANA COMMERCIAL $17.00 ↑ +25%

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

Hospital City Cash price Negotiated range
Mercy Hospital Aurora Aurora $21.16 $1.33 – $8.70
Mercy Hospital Lincoln Troy $29.25 $1.78 – $1.78
Mercy Hospital Carthage Carthage $29.57 $1.33 – $2.18
Mercy Orthopedic Hospital Springfield Ozark $45.34 $2.66 – $6.56

All Missouri hospitals for this procedure →