Ampicillin-sulbactam 1.5 gram solution for injection at HCA HOUSTON NORTHWEST
621 RAYFORD RD, SPRING, TX · HCA Houston Healthcare · · NPI 1740450121
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.
$0.84 with Superior Health Plan vs $27.27 with Humana — 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 |
|---|---|---|---|
| Superior Health Plan | STAR | $0.84 | — |
| Superior Health Plan | STARPLUS | $0.84 | — |
| Superior Health Plan | STARKids | $0.84 | — |
| Superior Health Plan | CHIP | $0.84 | — |
| Superior Health Plan | CHPFC | $0.84 | — |
| TriWest Health Alliance | TRCR | $1.57 | — |
| Christus (USFHP) | TRICARE | $1.57 | — |
| Community Health Choice MCD | CHIP | $1.82 | — |
| Community Health Choice MCD | STAR+PLUS | $1.82 | — |
| Community Health Choice MCD | CHIPPerinatal | $1.82 | — |
| Community Health Choice MCD | STAR | $1.82 | — |
| United | NarrowNetworkIndivExchange | $2.19 | — |
| United | AllPayerAppendix | $2.19 | — |
| United | SmallGroup | $2.19 | — |
| Texas Childrens Health Plans | CHIP | $2.33 | — |
| United | OptionsPPO | $2.35 | — |
| Texas Childrens Health Plans | STARKIDS | $3.32 | — |
| Texas Childrens Health Plans | STAR | $3.32 | — |
| Cigna | CSN | $3.61 | — |
| Molina Healthcare | HIX | $3.78 | — |
| Cigna | OpenAccessPlus | $3.90 | — |
| Cigna | PPO | $4.65 | — |
| BCBS | Traditional | $4.90 | — |
| BCBS | MyBlueHealth | $6.15 | — |
| United | GlobalAppendix | $6.30 | — |
| Coventry National First Health | COMM | $7.47 | — |
| BCBS | PPO | $8.48 | — |
| BCBS | EPOSOA | $8.48 | — |
| BCBS | HMO | $8.48 | — |
| BCBS | BAV | $10.58 | — |
| Humana | PPO | $27.27 | — |
| Humana | HMO | $27.27 | — |
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 |
|---|---|---|---|
| St. Luke's Health - Springwoods Village Hospital | Spring | $40.62 | $2.34 – $54.79 |
| Adventhealth Rollins Brook | Lampasas | $198.60 | $12.09 – $12.09 |
| St. Luke's Health - Patients Medical Center | Pasadena | $24.85 | $2.34 – $53.25 |
| Baylor St Luke's Medical Center | Houston | $40.62 | $2.83 – $54.79 |
| 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 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $40.62 | $2.34 – $54.79 |
| St. Joseph Health College Station Hospital | College Station | $4.20 | $0.48 – $2.79 |