Ampicillin-sulbactam 1.5 gram solution for injection at MID-COLUMBIA MEDICAL CENTER

1700 E 19th St, The Dalles, OR · Adventisthealth · · NPI 1851369409

Source: hospital's published price file ↗ · Published May 13, 2026 · Ingested Sep 16, 2026

$83.22

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.

$173.37

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.

$67.74 with NOROCOR - ALL PLANS vs $431.95 with REGENCE BCBS - 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
NOROCOR - ALL PLANS NOROCOR - ALL PLANS $67.74 ↓ -19%
UHC MEDICAID AND CHIP UHC MEDICAID AND CHIP $70.45 ↓ -15%
MOLINA MCAID MOLINA MCAID $70.45 ↓ -15%
AMERIGROUP MCAID - ALL PLANS AMERIGROUP MCAID - ALL PLANS $70.45 ↓ -15%
COORDINATED CARE MCAID - ALL PLANS COORDINATED CARE MCAID - ALL PLANS $70.45 ↓ -15%
REGENCE BCBS HEALTHY OPTIONS MCAID REGENCE BCBS HEALTHY OPTIONS MCAID $84.54 ↑ +2%
MODA HEALTH PLAN - ALL OTHER PLANS MODA HEALTH PLAN - ALL OTHER PLANS $89.42 ↑ +7%
HEALTHSCAPE - ALL PLANS HEALTHSCAPE - ALL PLANS $108.38 ↑ +30%
FIRST HEALTH - ALL PLANS FIRST HEALTH - ALL PLANS $120.58 ↑ +45%
COVENTRY - ALL PLANS COVENTRY - ALL PLANS $121.93 ↑ +47%
AETNA - ALL PLANS AETNA - ALL PLANS $125.05 ↑ +50%
CIGNA - ALL PLANS CIGNA - ALL PLANS $127.62 ↑ +53%
UHC MCR ADV UHC MCR ADV $128.71 ↑ +55%
FIRST CHOICE - ALL PLANS FIRST CHOICE - ALL PLANS $128.71 ↑ +55%
MULTIPLAN/PHCS - ALL PLANS MULTIPLAN/PHCS - ALL PLANS $128.71 ↑ +55%
PROVIDENCE PPO - ALL PLANS PROVIDENCE PPO - ALL PLANS $128.71 ↑ +55%
TRPN - THREE RIVERS - ALL PLANS TRPN - THREE RIVERS - ALL PLANS $128.71 ↑ +55%
UHC - ALL OTHER PLANS UHC - ALL OTHER PLANS $128.71 ↑ +55%
AHP - AMERICAS HLTH PLAN - ALL PLANS AHP - AMERICAS HLTH PLAN - ALL PLANS $131.42 ↑ +58%
HUMANA - ALL PLANS HUMANA - ALL PLANS $143.61 ↑ +73%
DEVOTED MCR ADV - ALL PLANS DEVOTED MCR ADV - ALL PLANS $146.32 ↑ +76%
PACIFIC SOURCE - ALL PLANS PACIFIC SOURCE - ALL PLANS $162.58 ↑ +95%
REGENCE BCBS - ALL OTHER PLANS REGENCE BCBS - ALL OTHER PLANS $431.95 ↑ +419%

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
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
Providence Willamette Falls Medical Center Oregon City $72.19 $1.64 – $4.92
Providence Milwaukie Hospital Milwaukie $265.03 $1.64 – $4.92

All Oregon hospitals for this procedure →