Ampicillin-sulbactam 1.5 gram solution for injection at CJW Medical Center-Chippenham Hospital Campus

14720 HANCOCK VILLAGE ST, CHESTERFIELD, VA · HCA Virginia · · NPI 1598708513

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 10, 2026

not published by hospital

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.

Full explanation →

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

not published by hospital

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.

$1.33 with TriAtlantic vs $15.00 with United Behavioral Health — 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
TriAtlantic TRICR $1.33
Health Net TRICR $1.49
Humana Military TRCR $1.52
Johns Hopkins UniformedServicesFamilyHealthPlan $1.57
Cigna IFP $1.65
Aetna MGMCR $2.25
Cigna PPO $2.42
Cigna HMO $2.42
United OptionsPPO $3.12
UNITED AllPayerAppendix $3.52
UNITED NavigateCorePayer $3.52
UNITED NewBusiness $3.52
UNITED SmallBusiness $3.52
Virginia Health Network ULTRA $5.25
United GlobalBenefitPlan $6.75
Greenvbrier Sporting Club COMM $9.00
Value Options COMM $9.00
Naphcare GVT $9.75
Virginia Health Network WC $9.75
Virginia Health Network COMM $9.75
CorVel WorkersComp $10.80
OccuNet Workers Comp WorkersComp $12.00
Evernorth COMM $12.00
Multiplan PHCS $13.50
4Most Health Nework COMM $13.50
United Behavioral Health VACCN $15.00

Visitor-reported prices

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Ampicillin-sulbactam 1.5 gram solution for injection at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $38.88 $1.94 – $19.99
Inova Fairfax Hospital Falls Church $38.88 $1.94 – $19.99
Inova Fair Oaks Hospital VA 22033-1709 $38.88 $1.94 – $19.99
Inova Loudoun Hospital Leesburg $38.88 $1.94 – $19.99
Inova Mount Vernon Hospital Alexandria $38.88 $1.94 – $19.99
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $1.33 – $3.52
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $1.33 – $3.52
LEWISGALE HOSPITAL-PULASKI PULASKI not published $1.18 – $3.52

All Virginia hospitals for this procedure →