Ampicillin-sulbactam 1.5 gram solution for injection at cleveland clinic childrens hospital for rehabilitation

2801 Martin Luther King Jr. Drive, Cleveland, OH · Cleveland Clinic · · NPI 1033161948

Source: hospital's published price file ↗ · Published Jun 15, 2026 · Ingested Aug 12, 2026

$170.37

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.

$262.11

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.

$3.96 with OSCAR vs $15.51 with AMERIHEALTH — 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
OSCAR ALL PRODUCTS $3.96 ↓ -98%
Aultcare PPO/HMO $3.99 ↓ -98%
PHPHI ALL PRODUCTS $4.48 ↓ -97%
PHP ALL PRODUCTS $4.48 ↓ -97%
Summacare Preferred $4.92 ↓ -97%
CIGNA ALL PRODUCTS $5.18 ↓ -97%
Summacare PREMIER $5.34 ↓ -97%
MMO TRADITIONAL $5.70 ↓ -97%
Buckeye Managed Medicaid $5.84 ↓ -97%
ANTHEM HPN $5.87 ↓ -97%
Amish Community Aid Plan ALL PRODUCTS $6.30 ↓ -96%
OPTUM All Products Transplant $6.58 ↓ -96%
ANTHEM TRADITIONAL $6.68 ↓ -96%
UNITED ALL PRODUCTS $6.74 ↓ -96%
OPTUM Commercial CHD Care Solutions $6.75 ↓ -96%
OHCP ALL PRODUCTS $6.81 ↓ -96%
ANTHEM PPO/HMO $6.90 ↓ -96%
OPTUM Commercial CRS Care Solutions $7.16 ↓ -96%
HEALTHSMART ALL PRODUCTS $7.71 ↓ -95%
The Health Plan ALL PRODUCTS $8.41 ↓ -95%
UPMC ALL PRODUCTS $8.41 ↓ -95%
THREE RIVERS ALL PRODUCTS $9.11 ↓ -95%
GMS ALL PRODUCTS $9.81 ↓ -94%
Quality Care Partners ALL PRODUCTS $9.81 ↓ -94%
Medical Benefit Corp Transplant SMCP $9.81 ↓ -94%
CC EHP ALL PRODUCTS $9.93 ↓ -94%
Consociate Health ALL PRODUCTS $10.51 ↓ -94%
AETNA ALL PRODUCTS $10.51 ↓ -94%
AETNA Acop $10.96 ↓ -94%
Ohio Healthy Transplant $11.21 ↓ -93%
Evernorth (Cigna BH) All Products Psychiatrist $11.21 ↓ -93%
USA Managed Care ALL PRODUCTS $12.61 ↓ -93%
MULTIPLAN ALL PRODUCTS $12.61 ↓ -93%
Managed Care Services TRANSPLANT $12.61 ↓ -93%
AETNA Asa_Whirlpool_Peia (Hmo) $12.61 ↓ -93%
AETNA International $13.31 ↓ -92%
AETNA Asa_Whirlpool_Peia (Pos_Epo_Ppo) $13.37 ↓ -92%
OPTUM Managed Medicaid Transplant $13.40 ↓ -92%
AETNA Qhp/Ipf $14.01 ↓ -92%
Paramount Managed Medicaid $14.52 ↓ -91%
ANTHEM Managed Medicaid $14.81 ↓ -91%
MOLINA Managed Medicaid $14.81 ↓ -91%
UNITED Managed Medicaid $15.09 ↓ -91%
CARESOURCE Managed Medicaid $15.09 ↓ -91%
AMERIHEALTH Managed Medicaid $15.51 ↓ -91%
AETNA NAP not published by hospital —

Visitor-reported prices

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

Hospital City Cash price Negotiated range
fairview hospital Cleveland $170.37 $2.17 – $12.61
lutheran hospital Cleveland $170.37 $2.37 – $12.61
cleveland clinic main campus Cleveland not published $2.33 – $11.17
Jewish Hospital Cincinnati $34.32 not published
Anderson Hospital Cincinnati $65.76 not published
Clermont Hospital Batavia $24.18 not published
Kings Mills Hospital Mason $35.88 not published
Mercy West Hospital Cincinnati $72.00 not published

All Ohio hospitals for this procedure →