Ampicillin-sulbactam 1.5 gram solution for injection at WellSpan Gettysburg Hospital

147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

$135.40

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.

$169.25

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 Amerihealth_Caritas_Medicaid vs $46.46 with WellSpan_Capital_Blue_Cross — 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
Amerihealth_Caritas_Medicaid All_Plans $1.39 ↓ -99%
Highmark_Wholecare_Gateway_Medicaid All_Plans $1.39 ↓ -99%
Health_Partners_Medicaid All_Other_Plans $1.39 ↓ -99%
Geisinger_Medicaid All_Plans $1.39 ↓ -99%
UPMC_Medicaid All_Plans $1.55 ↓ -99%
Aetna All_Plans $4.23 ↓ -97%
First_Health_Network All_Plans $4.23 ↓ -97%
United_Healthcare All_Plans $4.77 ↓ -96%
Cigna All_Plans $5.50 ↓ -96%
Blue_Cross Capital_Cares_4_kids $14.98 ↓ -89%
PHC All_Plans $19.80 ↓ -85%
Blue_Cross All_Other_Plans $21.40 ↓ -84%
UPMC UPMC_For_Kids $23.02 ↓ -83%
Johns_Hopkins_HealthCare_Plan All_Other_Plans $23.02 ↓ -83%
UPMC Employees_And_Dependents $23.02 ↓ -83%
Geisinger All_Plans $23.51 ↓ -83%
Blue_Cross Capital_Blue_Performance_PPO $28.34 ↓ -79%
WellSpan_Capital_Blue_Cross All_Plans $46.46 ↓ -66%

Visitor-reported prices

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

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $27.60 $0.88 – $25.60
UPMC Bedford Everett $45.40 $0.88 – $50.40
UPMC Carlisle Carlisle $43.20 $0.14 – $2.50
UPMC Cole Coudersport $18.00 $1.39 – $12.80
UPMC Community Osteopathic Harrisburg $43.20 $0.20 – $25.38
UPMC East Monroeville $91.20 $0.88 – $90.40
UPMC Hamot Erie $136.00 $0.88 – $4.82
UPMC Northwest Seneca $61.20 $0.88 – $39.56

All Pennsylvania hospitals for this procedure →