Ampicillin-sulbactam 1.5 gram solution for injection at PORTLAND ADVENTIST MEDICAL CENTER

10123 Se Market St, Portland, OR · Adventisthealth · · NPI 1801887658

Source: hospital's published price file ↗ · Published May 26, 2026 · Ingested Sep 16, 2026

$40.23

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.

$125.73

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.

$2.66 with AETNA - ALL PLANS vs $195.60 with UHC ALL PAYER - ALL OTHER PLANS — 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
AETNA - ALL PLANS AETNA - ALL PLANS $2.66 ↓ -93%
HEALTHCARE RESOURCES - ALL PLANS HEALTHCARE RESOURCES - ALL PLANS $18.31 ↓ -54%
WORKERS COMP WORKERS COMP $28.20 ↓ -30%
BC PREMERA FIRST - ALL PLANS BC PREMERA FIRST - ALL PLANS $40.75 ↑ +1%
HEALTHNET HMO/POS - ALL OTHER PLANS HEALTHNET HMO/POS - ALL OTHER PLANS $46.37 ↑ +15%
HEALTHNET EPO/POS/PPO HEALTHNET EPO/POS/PPO $46.78 ↑ +16%
WORLDVENTURE - ALL PLANS WORLDVENTURE - ALL PLANS $48.90 ↑ +22%
REGENCE - ALL OTHER PLANS REGENCE - ALL OTHER PLANS $53.34 ↑ +33%
PACIFIC SOURCE COMM - ALL PLANS PACIFIC SOURCE COMM - ALL PLANS $53.79 ↑ +34%
FIRST CHOICE - ALL PLANS FIRST CHOICE - ALL PLANS $56.48 ↑ +40%
PHCS - ALL PLANS PHCS - ALL PLANS $61.13 ↑ +52%
MULTIPLAN - ALL PLANS MULTIPLAN - ALL PLANS $61.13 ↑ +52%
FIRST HEALTH-COVENTRY - ALL PLANS FIRST HEALTH-COVENTRY - ALL PLANS $65.20 ↑ +62%
NATIONAL PROVIDER NETWORK - ALL PLANS NATIONAL PROVIDER NETWORK - ALL PLANS $71.72 ↑ +78%
HEALTH PAYORS ORGANIZATION LTD- ALL PLANS HEALTH PAYORS ORGANIZATION LTD- ALL PLANS $73.35 ↑ +82%
REGENCE MCR ADV REGENCE MCR ADV $81.50 ↑ +103%
REGENCE PREFERRED MCR ADV REGENCE PREFERRED MCR ADV $81.50 ↑ +103%
MODA AFFINITY - ALL OTHER PLANS MODA AFFINITY - ALL OTHER PLANS $89.65 ↑ +123%
MODA CONNEXUS MODA CONNEXUS $89.65 ↑ +123%
MODA OHSU PPO/EPO/HMC MODA OHSU PPO/EPO/HMC $89.65 ↑ +123%
MODA SELECT MODA SELECT $89.65 ↑ +123%
MODA SYNERGY MODA SYNERGY $89.65 ↑ +123%
PROVIDENCE HP - ALL PLANS PROVIDENCE HP - ALL PLANS $163.00 ↑ +305%
CIGNA - ALL PLANS CIGNA - ALL PLANS $163.00 ↑ +305%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $195.60 ↑ +386%

Visitor-reported prices

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

Hospital City Cash price Negotiated range
Providence Portland Medical Center Portland $265.03 $1.64 – $4.92
Providence St Vincent Medical Center Portland $72.19 $1.64 – $4.92
Sunnyside Medical Center CLACKAMAS $185.94 $1.49 – $1.49
Westside Medical Center HILLSBORO $185.94 $1.49 – $1.49
Providence Hood River Memorial Hospital Hood River $72.19 not published
Providence Medford Medical Center Medford $113.41 not published
Providence Newberg Medical Center Newberg $113.41 $1.64 – $1.64
Providence Seaside Hospital Seaside $120.95 not published

All Oregon hospitals for this procedure →