AMPICILLIN & SULBACTAM SODIUM FOR INJ 1.5 (1-0.5) GM - as described in hospitals' own price files.
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|
| Mat-Su Regional Medical Center | Palmer, AK | $7.20 | $16.28 | $24.00 | $1.61 - $45.12 |
| Flowers Hospital | Dothan, AL | $4.08 | $20.30 | $27.17 | $1.94 - $27.17 |
| Providence St. Mary Medical Center | Walla Walla, WA | $30.00 | - | $42.86 | - |
| Saint John'S Health Center | Santa Monica, CA | $34.01 | - | $97.17 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $34.01 | - | $97.17 | - |
| Kadlec Regional Medical Center | Richland, WA | $34.61 | - | $49.44 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $34.65 | - | $99.01 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $34.65 | - | $99.01 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $35.07 | - | $100 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $35.07 | - | $100 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $36.04 | - | $75.08 | - |
| Providence St. Joseph Hospital | Eureka, CA | $44.76 | - | $93.25 | - |
| St. Mary Medical Center | Long Beach, CA | $44.76 | - | $93.25 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $44.76 | - | $93.25 | - |
| Providence Centralia Hospital | Centralia, WA | $45.82 | - | $88.11 | - |
| Providence Seward Hospital | Seward, AK | $50.70 | - | $65.00 | - |
| Providence Valdez Medical Center | Valdez, AK | $50.70 | - | $65.00 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $50.70 | - | $65.00 | - |
| Providence Alaska Medical Center | Anchorage, AK | $50.70 | - | $65.00 | - |
| Providence St. Peter Hospital | Olympia, WA | $51.58 | - | $99.19 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $55.69 | - | $116 | - |
| Swedish Issaquah | Issaquah, WA | $55.69 | - | $116 | - |
| Covenant Hospital Levelland | Levelland, TX | $56.70 | - | $135 | - |
| Covenant Hospital Plainview | Plainview, TX | $56.70 | - | $135 | - |
| Covenant Health Hobbs Hospital | Hobbs, NM | $56.70 | - | $135 | - |
| Grace Surgical Hospital | Lubbock, TX | $61.10 | - | $145 | - |
| Covenant Medical Center | Lubbock, TX | $69.30 | - | $165 | - |
| Providence Holy Family Hospital | Spokane, WA | $70.66 | - | $101 | - |
| Providence Mount Carmel Hospital | Colville, WA | $70.66 | - | $101 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $70.66 | - | $101 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $71.09 | - | $94.78 | - |
| Providence Newberg Medical Center | Newberg, OR | $71.09 | - | $94.78 | - |
| Providence Seaside Hospital | Seaside, OR | $71.09 | - | $94.78 | - |
| Providence Medford Medical Center | Medford, OR | $71.09 | - | $94.78 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $71.09 | - | $94.78 | - |
| Providence St. Vincent Medical Center | Portland, OR | $71.09 | - | $94.78 | - |
| Providence Portland Medical Center | Portland, OR | $71.09 | - | $94.78 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $71.09 | - | $94.78 | - |
| Providence St. Joseph Medical Center | Polson, MT | $79.62 | - | $99.53 | - |
| St. Patrick Hospital | Missoula, MT | $79.62 | - | $99.53 | - |
| Providence Regional Medical Center Everett | Everett, WA | $81.23 | - | $156 | - |
| Healdsburg Hospital | Healdsburg, CA | $84.15 | - | $165 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $84.15 | - | $165 | - |
| Petaluma Valley Hospital | Petaluma, CA | $84.15 | - | $165 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $84.15 | - | $165 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $84.15 | - | $165 | - |
| Gadsden Regional Medical Center | Gadsden, AL | $14.58 | $85.05 | $122 | $2.12 - $1,525 |
| Grandview Medical Center | Birmingham, AL | $20.10 | $94.15 | $134 | $2.12 - $269 |
| Crestwood Medical Center | Huntsville, AL | $58.81 | $229 | $327 | $1.39 - $653 |
| Medical Center Enterprise | Enterprise, AL | $32.66 | $254 | $363 | $2.12 - $363 |
Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.