Ampicillin-sulbactam 1.5 gram solution for injection at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$40.62
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.
$116.04
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.
$2.83 with BCBS - TX vs $54.79 with MHealth Network — 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 |
|---|---|---|---|
| BCBS - TX | Commercial|MyBlue Health Exchange | $2.83 | ↓ -93% |
| United | Commercial|Exchange | $2.87 | ↓ -93% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $3.55 | ↓ -91% |
| United | Commercial|PPO | $3.94 | ↓ -90% |
| United | Commercial|Charter | $3.94 | ↓ -90% |
| United | Commercial|HMO | $3.94 | ↓ -90% |
| BCBS - TX | Commercial|Premier | $4.46 | ↓ -89% |
| BCBS - TX | Commercial|HMO | $5.81 | ↓ -86% |
| Cigna | Commercial|PPO | $5.96 | ↓ -85% |
| BCBS - TX | Commercial|PPO Trad | $6.28 | ↓ -85% |
| Cigna | Commercial|Surefit | $6.28 | ↓ -85% |
| Cigna | Commercial|HMO | $6.28 | ↓ -85% |
| Aetna | Commercial|KelseyCare | $12.06 | ↓ -70% |
| Aetna | Commercial|HMO | $14.25 | ↓ -65% |
| Aetna | Commercial|PPO | $14.25 | ↓ -65% |
| OPTUM | Medicare|All Plans | $14.80 | ↓ -64% |
| Aetna | Commercial|Transplant | $17.54 | ↓ -57% |
| Bright Health | Commercial|All Plans | $18.09 | ↓ -55% |
| OPTUM | Medicaid|STAR | $19.83 | ↓ -51% |
| TCHPCHIP | Medicaid|HMO | $22.47 | ↓ -45% |
| TCH | Commercial|Transplant | $24.66 | ↓ -39% |
| United | Commercial|Optum | $25.76 | ↓ -37% |
| Humana | Commercial|HMO | $26.85 | ↓ -34% |
| KelseyCare | Commercial|All Other Plans | $26.85 | ↓ -34% |
| Humana | Commercial|PPO | $26.85 | ↓ -34% |
| Shell | Commercial|All Plans | $27.40 | ↓ -33% |
| CHC | Medicaid|CHIP | $30.14 | ↓ -26% |
| CHC | Medicaid|HMO | $30.14 | ↓ -26% |
| TEXASTRUECHOICE | Medicaid|CHIP | $30.14 | ↓ -26% |
| Cigna Lifesource | Commercial|Transplant | $32.88 | ↓ -19% |
| Independent Med System | Commercial|All Plans | $32.88 | ↓ -19% |
| First Health | Commercial|All Plans | $35.62 | ↓ -12% |
| Coventry | Commercial|PPO | $35.62 | ↓ -12% |
| Humana | Commercial|Transplant | $35.62 | ↓ -12% |
| Interlink | Commercial|Transplant | $38.36 | ↓ -6% |
| Healthsmart | Commercial|PPO | $38.36 | ↓ -6% |
| PHCS Savility | Commercial|PPO | $38.36 | ↓ -6% |
| PHCS | Commercial|PPO | $38.36 | ↓ -6% |
| Cigna | Commercial|Transplant | $38.36 | ↓ -6% |
| Healthsmart | Commercial|AP3 | $39.45 | ↓ -3% |
| MultiPlan | Commercial|All Plans | $41.10 | ↑ +1% |
| OPTUM | Medicaid|STARPLUS | $45.27 | ↑ +11% |
| USA Health Network | Commercial|All Plans | $46.58 | ↑ +15% |
| MHealth Network | Commercial|PPO | $54.79 | ↑ +35% |
Visitor-reported prices
Comments
Ampicillin-sulbactam 1.5 gram solution for injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $40.62 | $2.34 – $54.79 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1.57 – $27.27 |
| HCA HOUSTON WEST | HOUSTON | not published | $1.33 – $27.27 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $1.57 – $27.27 |
| Adventhealth Rollins Brook | Lampasas | $198.60 | $12.09 – $12.09 |
| St. Luke's Health - Patients Medical Center | Pasadena | $24.85 | $2.34 – $53.25 |
| St. Joseph Health Madison Hospital | Madisonville | $4.20 | $0.36 – $2.79 |
| St. Luke's Health Memorial Lufkin | Lufkin | $275.90 | $2.28 – $35.06 |