Ampicillin-sulbactam 1.5 gram solution for injection at CHRISTUS Southeast Texas Jasper Memorial

1275 Marvin Hancock Dr, Jasper, TX · Christushealth · · NPI 1598749707

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

$67.22

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.

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What you pay up front if you don't use insurance.

$203.71

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.

$1.57 with United Healthcare vs $63.03 with Verity Healthnet National — 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
United Healthcare HIX $1.57 ↓ -98%
United Healthcare All Payer $1.57 ↓ -98%
Aetna New Business $2.94 ↓ -96%
Aetna HMO $3.26 ↓ -95%
Aetna PPO $3.26 ↓ -95%
Aetna EPO $3.26 ↓ -95%
Aetna POS $3.26 ↓ -95%
Humana Choicecare $6.83 ↓ -90%
United Healthcare Star Kid KM $10.38 ↓ -85%
United Healthcare Star KM $10.38 ↓ -85%
United Healthcare Chip KM $10.38 ↓ -85%
United Healthcare Star Plus KM $10.38 ↓ -85%
Christus Health Med Adv MM $11.12 ↓ -83%
Blue Cross Blue Shield Of Texas Blue Advantage HMO $13.85 ↓ -79%
Blue Cross Blue Shield Of Texas HMO $15.23 ↓ -77%
Blue Cross Blue Shield Of Texas HEB $15.23 ↓ -77%
Christus Health HIX $15.57 ↓ -77%
Blue Cross Blue Shield Of Texas PPO $17.43 ↓ -74%
Aetna MM $17.79 ↓ -74%
Blue Cross Blue Shield Of Texas Traditional $17.96 ↓ -73%
Superior Star KM $20.02 ↓ -70%
Superior Foster Care KM $20.02 ↓ -70%
Community Health Choice Chip KM $20.02 ↓ -70%
Superior Chip KM $20.02 ↓ -70%
Superior Star Plus KM $20.02 ↓ -70%
Texas Childrens Health Plan Star Plus KM $20.76 ↓ -69%
Amerigroup Chip KM $20.76 ↓ -69%
Amerigroup Star Plus KM $20.76 ↓ -69%
Amerigroup Star KM $20.76 ↓ -69%
Amerigroup Star Kids KM $20.76 ↓ -69%
Texas Childrens Health Plan Chip KM $20.76 ↓ -69%
Texas Childrens Health Plan Star Kids KM $20.76 ↓ -69%
Community Health Choice Star KM $21.50 ↓ -68%
Molina Star Plus KM $22.24 ↓ -67%
Molina Chip KM $22.24 ↓ -67%
Molina Star KM $22.24 ↓ -67%
Cigna New Business $28.92 ↓ -57%
Imperial Health Plan MM $29.66 ↓ -56%
Amerigroup MM $29.66 ↓ -56%
Healthcare Highways PPO $33.37 ↓ -50%
ADV Cardiovas Specialist MM $37.08 ↓ -45%
Devoted Health Plan MM $37.08 ↓ -45%
LSU First Choice Verity PPO $37.08 ↓ -45%
Verity HealthNet PPO $44.49 ↓ -34%
Cigna PPO $44.49 ↓ -34%
Naphcare Inc. RRMB $44.49 ↓ -34%
Healthsmart Accel PPO $48.20 ↓ -28%
First Health PPO $48.20 ↓ -28%
Phcs PPO $51.91 ↓ -23%
Multiplan PPO $51.91 ↓ -23%
Five Point Credit Union PPO $51.91 ↓ -23%
Partners Direct Health PPO $51.91 ↓ -23%
MCT Credit Union All Plans $51.91 ↓ -23%
Provider Select PPO $59.32 ↓ -12%
Health Management Network PPO $59.32 ↓ -12%
Beech Street PPO $59.32 ↓ -12%
HealthSmart PPO $59.32 ↓ -12%
Triwest VA MM $63.03 ↓ -6%
Verity Healthnet National PPO $63.03 ↓ -6%

Visitor-reported prices

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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

All Texas hospitals for this procedure →