Ampicillin-sulbactam 1.5 gram solution for injection at MEDICAL CITY FORT WORTH HOSPITAL
900 EIGHTH AVENUE, FT WORTH, TX · Medicalcityhealthcare · · NPI 1659323772
not published by hospital
Cash price 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.
not published by hospital
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$1.52 with Humana vs $211.38 with Unicare — 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 →
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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 ?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 ?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 |
|---|---|---|---|
| Humana | Tricare | $1.52 | — |
| TriWest Health Alliance | TRCR | $1.57 | — |
| United | AllPayerAppendix | $2.19 | — |
| United | SmallGroup | $2.19 | — |
| United | NarrowNetworkIndivExchange | $2.19 | — |
| Cigna | NewBusiness | $9.02 | — |
| Cigna | LocalPlus | $9.02 | — |
| Cigna | OpenAccessPlus | $10.07 | — |
| Cigna | HMO | $10.07 | — |
| Cigna | NetworkBenefit | $10.07 | — |
| BCBS | BlueAdvantageHMO | $10.83 | — |
| BCBS | MyBlueHealth | $10.83 | — |
| Cigna | AllOther | $12.74 | — |
| Superior Health Plan | STARHealth | $14.80 | — |
| Superior Health Plan | CHIP | $14.80 | — |
| Superior Health Plan | STARKids | $14.80 | — |
| Superior Health Plan | STARPLUS | $14.80 | — |
| Superior Health Plan | MCDSTAR | $14.80 | — |
| BCBS | BlueEssentialsAccess | $15.86 | — |
| BCBS | BlueEssentials | $15.86 | — |
| BCBS | EPOSOA | $16.64 | — |
| BCBS | PPO | $17.43 | — |
| BCBS | BluePremier | $19.53 | — |
| Humana | COMM | $20.03 | — |
| Cigna | IFP | $28.54 | — |
| Cigna | QHP | $29.59 | — |
| Aetna | QHPHIX | $34.45 | — |
| United | OptionsPPO | $39.74 | — |
| Unicare | CHIP | $46.50 | — |
| Aetna | NewBusiness | $50.31 | — |
| Aetna | Meritain | $54.11 | — |
| Aetna | COMM | $54.11 | — |
| Aetna | OON | $63.41 | — |
| Healthcare Highways | CityofPlano | $71.45 | — |
| BCBS | Traditional | $93.85 | — |
| City of McKinney | COMM | $95.12 | — |
| National ChoiceCare | WCOMP | $105.69 | — |
| Emerging Therapy Solutions | MGMCR | $105.69 | — |
| Aetna | ASA | $111.40 | — |
| Cigna Lifesource | COMM | $112.03 | — |
| Physicians Coop of TX | MGMCR | $116.26 | — |
| Aetna | WCOMP | $116.26 | — |
| PC Texas Partners | WCOMP | $116.26 | — |
| Rockport Health Group | WORKERSCOMP | $116.26 | — |
| Averde Health, Inc | PPO | $122.60 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $124.50 | — |
| Aetna Coventry First Health | EXCLUSIVE | $124.50 | — |
| Mega Life | MGMCRPPO | $147.97 | — |
| Coastal Comp Health Networks | WCOMP | $147.97 | — |
| HealthSmart Preferred Care | PPO | $150.08 | — |
| Emerging Therapy Solutions | Commercial | $152.19 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $158.53 | — |
| TCU ATHLETICS | COMM | $169.10 | — |
| USA Managed Care | COMM | $169.10 | — |
| USC Health Services | COMM | $169.10 | — |
| Galaxy Health Network | PPO | $179.67 | — |
| Optum Transplant | COMM | $181.79 | — |
| Independent Medical Systems | COMM | $211.38 | — |
| National Healthcare Solutions | COMM | $211.38 | — |
| Unicare | MCD | $211.38 | — |
Visitor-reported prices
Comments
Ampicillin-sulbactam 1.5 gram solution for injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $198.60 | $12.09 – $12.09 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $30.76 | $1.49 – $18.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $30.76 | $1.49 – $19.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $30.76 | $1.49 – $16.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $30.76 | $1.49 – $18.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $30.76 | $1.49 – $19.21 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $30.76 | $1.49 – $19.21 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $30.76 | $1.49 – $19.21 |