Ampicillin-sulbactam 1.5 gram solution for injection at UPMC Chautauqua

207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222

Source: hospital's published price file ↗ · Published unknown · Ingested Aug 13, 2026

$26.60

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.

$33.25

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.

$1.39 with Geisinger vs $29.70 with Affordable First Health — 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
Geisinger Medicaid/CHIP $1.39 ↓ -95%
Aetna Medicare $1.47 ↓ -94%
Univera Medicare Advantage $2.17 ↓ -92%
Independent Health Commercial $2.59 ↓ -90%
Independent Health Medicare Advantage $2.59 ↓ -90%
UPMC Health Plan Commercial $19.80 ↓ -26%
United Healthcare Commercial $21.12 ↓ -21%
Aetna Commercial $21.45 ↓ -19%
Humana Commercial $24.75 ↓ -7%
MagnaCare PPO $24.75 ↓ -7%
MagnaCare Direct Plus $24.75 ↓ -7%
MagnaCare Workers Compensation $24.75 ↓ -7%
MagnaCare No Fault $24.75 ↓ -7%
Multiplan PPO (Includes PHCS as a Payer) $24.75 ↓ -7%
GHI/Emblem Health Commercial $26.40 ↓ -1%
Statewide Independent PPO PPO $29.04 ↑ +9%
Affordable First Health PPO $29.70 ↑ +12%

Visitor-reported prices

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Ampicillin-sulbactam 1.5 gram solution for injection at other New-york hospitals

Hospital City Cash price Negotiated range
NewYork-Presbyterian Queens Flushing $11.13 $1.49 – $5.40
NewYork-Presbyterian Hudson Valley Hospital Cortlandt Manor $11.13 $1.49 – $4.57
NewYork-Presbyterian Columbia University Irving Medical Center New York $11.13 $1.49 – $5.40
Bellevue Hospital Center NY 10016 not published $1.29 – $2.76
Harlem Hospital Center New York not published $1.29 – $2.76
Kings County Hospital Center Brooklyn not published $1.29 – $2.76
Lincoln Medical Center Bronx not published $1.29 – $2.76
Metropolitan Hospital Center New York not published $1.29 – $2.76

All New-york hospitals for this procedure →