Acyclovir 400 mg tablet at ADVENTIST HEALTH CLEARLAKE HOSPITAL

15630 18th Ave, Clearlake, CA · Adventisthealth · · NPI 1124018031

Source: hospital's published price file ↗ · Published Jul 29, 2026 · Ingested Sep 16, 2026

$84.60

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.

$235.00

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.

$0.24 with BLUE SHIELD MCR ADV vs $1.14 with MEDI-CAL — 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
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $0.24 ↓ -100%
KAISER MCR ADV KAISER MCR ADV $0.24 ↓ -100%
TRICARE BLUE SHIELD- ALL PLANS TRICARE BLUE SHIELD- ALL PLANS $0.24 ↓ -100%
BLUE CROSS MCR ADV BLUE CROSS MCR ADV $0.25 ↓ -100%
UHC MCR ADV UHC MCR ADV $0.26 ↓ -100%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $0.48 ↓ -99%
AETNA- ALL PLANS AETNA- ALL PLANS $0.85 ↓ -99%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $0.86 ↓ -99%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $0.88 ↓ -99%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $0.88 ↓ -99%
UHC JLL UHC JLL $0.90 ↓ -99%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $0.91 ↓ -99%
HEALTHNET- ALL PLANS HEALTHNET- ALL PLANS $0.93 ↓ -99%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $0.95 ↓ -99%
FOUNDATION- ALL PLANS FOUNDATION- ALL PLANS $0.97 ↓ -99%
HEALTH MGMT NETWORK- ALL PLANS HEALTH MGMT NETWORK- ALL PLANS $0.97 ↓ -99%
HUMANA- ALL PLANS HUMANA- ALL PLANS $0.97 ↓ -99%
PHCS- ALL PLANS PHCS- ALL PLANS $0.97 ↓ -99%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $1.03 ↓ -99%
KAISER- ALL OTHER PLANS KAISER- ALL OTHER PLANS $1.03 ↓ -99%
CIGNA- ALL PLANS CIGNA- ALL PLANS $1.03 ↓ -99%
INTERPLAN- ALL PLANS INTERPLAN- ALL PLANS $1.03 ↓ -99%
PARTNERSHIP MCAL - ALL PLANS PARTNERSHIP MCAL - ALL PLANS $1.14 ↓ -99%
BC MANAGED MCAL BC MANAGED MCAL $1.14 ↓ -99%
MEDI-CAL MEDI-CAL $1.14 ↓ -99%

Visitor-reported prices

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Acyclovir 400 mg tablet at other California hospitals

Hospital City Cash price Negotiated range
Mercy Medical Center Redding Redding $33.97 $50.92 – $65.66
REEDLEY COMMUNITY HOSPITAL Reedley $60.80 $1.11 – $74.00
ST HELENA HOSPITAL Vallejo $142.93 $141.46 – $141.46
HANFORD COMMUNITY HOSPITAL Selma $87.75 $75.63 – $127.07
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield $98.87 $85.62 – $232.89
SIERRA VISTA HOSPITAL, INC. San Luis Obispo $126.63 $1.84 – $2.39
ADVENTIST HEALTH DELANO Delano $15.17 $64.49 – $97.87
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $124.08 $3.00 – $4.35

All California hospitals for this procedure →