Ampicillin-sulbactam 1.5 gram solution for injection at HSHS St. Clare Memorial Hospital
855 S MAIN STREET, OCONTO FALLS, WI · Hshs · · NPI 1851477913
$38.86
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.
$58.88
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.
$2.19 with UNITED HEALTHCARE vs $44.90 with LIVE360 — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | UHC ONEIDA NATION | $2.19 | ↓ -94% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $2.19 | ↓ -94% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2.19 | ↓ -94% |
| ANTHEM | ANTHEM POS/HMO | $2.26 | ↓ -94% |
| PREVEA HEALTH NETWORK | PREVEA360 | $2.38 | ↓ -94% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $2.38 | ↓ -94% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $2.38 | ↓ -94% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $2.38 | ↓ -94% |
| ANTHEM | ANTHEM PPO | $2.79 | ↓ -93% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $10.78 | ↓ -72% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $10.78 | ↓ -72% |
| AETNA | AETNA MEDICARE | $10.78 | ↓ -72% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $10.78 | ↓ -72% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $10.78 | ↓ -72% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $10.89 | ↓ -72% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $21.82 | ↓ -44% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $22.45 | ↓ -42% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $24.26 | ↓ -38% |
| CIGNA | ALL COMMERCIAL CIGNA | $28.06 | ↓ -28% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $28.66 | ↓ -26% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $35.47 | ↓ -9% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $35.92 | ↓ -8% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $35.92 | ↓ -8% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $36.82 | ↓ -5% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $36.82 | ↓ -5% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $37.72 | ↓ -3% |
| HUMANA | HUMANA NATIIONAL POS HMO | $38.17 | ↓ -2% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $38.17 | ↓ -2% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $38.17 | ↓ -2% |
| HUMANA | HUMANA CHOICE CARE PPO | $38.17 | ↓ -2% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $39.96 | ↑ +3% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $39.96 | ↑ +3% |
| COFINITY | COFINITY | $40.41 | ↑ +4% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $40.41 | ↑ +4% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $40.41 | ↑ +4% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $41.31 | ↑ +6% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $42.66 | ↑ +10% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $42.66 | ↑ +10% |
| AETNA | ALL COMMERCIAL AETNA | $44.90 | ↑ +16% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $44.90 | ↑ +16% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $44.90 | ↑ +16% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $44.90 | ↑ +16% |
Visitor-reported prices
Comments
Ampicillin-sulbactam 1.5 gram solution for injection at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $16.93 | $2.62 – $5.76 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $13.98 | $2.62 – $5.76 |
| UnityPoint Health - Meriter Hospital | Madison | $74.36 | $0.29 – $1.06 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $21.44 | $1.57 – $4.18 |
| Aurora Medical Center Summit | Summit | $15.37 | $1.57 – $4.18 |
| Aurora Baycare Medical Center | Green Bay | $12.76 | $1.57 – $4.18 |
| Aurora Medical Center Manitowoc | Two Rivers | $13.21 | $1.57 – $4.18 |
| Aurora West Allis Medical Center | West Allis | $15.95 | $1.57 – $4.18 |