Ampicillin-sulbactam 1.5 gram solution for injection at lodi hospital

225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870

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.

Full explanation →

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 $14.86 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%
UNITED MEDICARE ADVANTAGE $4.20 ↓ -98%
HUMANA Medicare Advantage HMO $4.20 ↓ -98%
MMO Medicare Advantage HMO & PPO $4.20 ↓ -98%
PHPHI ALL PRODUCTS $4.48 ↓ -97%
AETNA MEDICARE ADVANTAGE $4.48 ↓ -97%
PHP ALL PRODUCTS $4.48 ↓ -97%
Summacare MEDICARE ADVANTAGE $4.48 ↓ -97%
The Health Plan Secure Care $5.60 ↓ -97%
Amish Community Aid Plan ALL PRODUCTS $6.30 ↓ -96%
Aultcare PPO/HMO $6.74 ↓ -96%
OHCP ALL PRODUCTS $6.81 ↓ -96%
OMAS ALL PRODUCTS $7.01 ↓ -96%
MMO TRADITIONAL $7.30 ↓ -96%
Ohio Healthy TRANSPLANT $7.57 ↓ -96%
ANTHEM HPN $7.65 ↓ -96%
OPTUM All Products Transplant $7.93 ↓ -95%
AETNA Acop $7.96 ↓ -95%
Summacare Preferred $8.07 ↓ -95%
UPMC ALL PRODUCTS $8.41 ↓ -95%
Summacare PREMIER $8.41 ↓ -95%
CIGNA ALL PRODUCTS $8.90 ↓ -95%
ANTHEM PPO/HMO $9.00 ↓ -95%
ANTHEM TRADITIONAL $9.28 ↓ -95%
CC EHP ALL PRODUCTS $9.41 ↓ -94%
AETNA Asa_Whirlpool_Peia $9.62 ↓ -94%
UNITED ALL PRODUCTS $9.69 ↓ -94%
AETNA International $9.72 ↓ -94%
Medical Benefit Corp Transplant SMCP $9.81 ↓ -94%
GMS ALL PRODUCTS $9.81 ↓ -94%
AETNA ALL PRODUCTS $10.51 ↓ -94%
Consociate Health ALL PRODUCTS $10.51 ↓ -94%
The Health Plan ALL PRODUCTS $11.21 ↓ -93%
MULTIPLAN ALL PRODUCTS $12.61 ↓ -93%
FrontPath TRANSPLANT $12.61 ↓ -93%
Managed Care Services TRANSPLANT $12.61 ↓ -93%
Tertiary Care Network TRANSPLANT $12.61 ↓ -93%
OPTUM Managed Medicaid Transplant $12.83 ↓ -92%
Buckeye Managed Medicaid $13.51 ↓ -92%
CARESOURCE Managed Medicaid $13.51 ↓ -92%
AETNA Qhp/Ipf $14.01 ↓ -92%
ANTHEM Managed Medicaid $14.19 ↓ -92%
UNITED Managed Medicaid $14.19 ↓ -92%
MOLINA Managed Medicaid $14.19 ↓ -92%
AMERIHEALTH Managed Medicaid $14.86 ↓ -91%
AETNA NAP not published by hospital —
CIGNA MEDICARE ADVANTAGE not published by hospital —
CommuniCare MEDICARE ADVANTAGE not published by hospital —
ANTHEM MEDICARE ADVANTAGE not published by hospital —
OPTUM Medicare Advantage Transplant not published by hospital —
OPTUM All Products VA 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
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
St Ritas Medical Center Lima $170.40 not published
Trinity Medical Center East Steubenville $18.85 $1.64 – $10.78
akron general Akron $170.37 $2.08 – $12.61

All Ohio hospitals for this procedure →