Ampicillin-sulbactam 1.5 gram solution for injection at UPMC Community Osteopathic

111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786

Source: hospital's published price file ↗ · Published unknown · Ingested Aug 13, 2026

$43.20

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.

$72.00

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.

$0.20 with Keystone Health Plan vs $25.38 with Highmark BCBS of PA — 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
Keystone Health Plan Medicare Advantage $0.20 ↓ -100%
Capital Blue Cross Medicare Advantage $0.20 ↓ -100%
Prime Net Managed Medicare $0.24 ↓ -99%
Aetna Medicare $0.25 ↓ -99%
Aetna ACO $0.34 ↓ -99%
Aetna PEBTF ACO $0.36 ↓ -99%
Aetna Commercial $0.43 ↓ -99%
UPMC Work Partners Workers Comp $0.43 ↓ -99%
InterGroup PPO $0.65 ↓ -98%
Prime Net FH-Medical Rental $0.75 ↓ -98%
Wellspan Population Health Commercial $0.85 ↓ -98%
PA Health & Wellness Community Health Choices/PA Medicaid HMO $1.39 ↓ -97%
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $1.39 ↓ -97%
Geisinger Medicaid/CHIP $1.39 ↓ -97%
Capital Blue Cross CHIP $1.65 ↓ -96%
Capital Blue Cross Commercial $1.65 ↓ -96%
UPMC Health Plan CHIP $1.71 ↓ -96%
Keystone Health Plan Commercial $2.04 ↓ -95%
Highmark BCBS of PA Commercial $25.38 ↓ -41%
Highmark BCBS of PA CHIP $25.38 ↓ -41%

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 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
UPMC Hanover Hanover $43.20 $1.39 – $2.50

All Pennsylvania hospitals for this procedure →