Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$178.45
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.
$415.00
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.
$0.04 with HCLA vs $26.00 with SMIPA — 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 |
|---|---|---|---|
| HCLA | Medicaid|Preferred IPA < 21 | $0.04 | ↓ -100% |
| Preferred IPA | Medicaid|Risk | $0.04 | ↓ -100% |
| Noble IPA | Medicaid|> 21 | $0.04 | ↓ -100% |
| Noble IPA | Medicaid|< 21 | $0.04 | ↓ -100% |
| HCLA | Medicaid|Preferred IPA > 21 | $0.04 | ↓ -100% |
| Health Net | Medicaid|> 21 | $0.05 | ↓ -100% |
| Health Net | Medicaid|< 21 | $0.05 | ↓ -100% |
| Molina | Medicaid|All Plans | $0.06 | ↓ -100% |
| United | Commercial|Non-Options PPO | $0.07 | ↓ -100% |
| Aetna | Commercial|HMO | $0.08 | ↓ -100% |
| United | Commercial|All Other Plans | $0.08 | ↓ -100% |
| United | Commercial|HMO | $0.08 | ↓ -100% |
| United | Commercial|Options PPO | $0.08 | ↓ -100% |
| Aetna | Commercial|All Other Plans | $0.08 | ↓ -100% |
| Aetna | Commercial|PPO | $0.08 | ↓ -100% |
| Health Net | Commercial|EPPO | $0.09 | ↓ -100% |
| Health Net | Commercial|Care Product | $0.11 | ↓ -100% |
| Health Net | Commercial|All Other Plans | $0.12 | ↓ -100% |
| Blue Shield CA | Commercial|Exchange | $0.14 | ↓ -100% |
| Blue Shield CA | Commercial|All Other Plans | $0.14 | ↓ -100% |
| LA Care | Medicaid|All Plans | $0.16 | ↓ -100% |
| Blue Shield CA | Medicaid|All Plans | $0.20 | ↓ -100% |
| Care 1st | Medicaid|All Plans | $0.20 | ↓ -100% |
| BCBS - Anthem | Commercial|Exchange | $0.85 | ↓ -100% |
| BCBS - Anthem | Commercial|All Other Plans | $1.26 | ↓ -99% |
| BCBS - Anthem | Commercial|MCS | $1.96 | ↓ -99% |
| BCBS - Anthem | Medicaid|All Plans | $4.51 | ↓ -97% |
| Angeles IPA | Medicare|All Plans | $4.52 | ↓ -97% |
| DHR | Medicaid|> 21 | $6.50 | ↓ -96% |
| DHR | Medicaid|< 21 | $6.50 | ↓ -96% |
| Cigna | Commercial|PPO | $11.96 | ↓ -93% |
| Cigna | Commercial|All Other Plans | $11.96 | ↓ -93% |
| Blue Shield CA | Medicare|BlueShield Promise | $16.90 | ↓ -91% |
| Kaiser | Commercial|All Plans | $18.20 | ↓ -90% |
| MultiPlan | Commercial|All Plans | $20.80 | ↓ -88% |
| SMIPA | Medicare|All Plans | $26.00 | ↓ -85% |
Visitor-reported prices
Comments
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $55.19 | $0.06 – $52.26 |
| Petaluma Valley Hospital | Petaluma | $145.69 | $0.07 – $0.17 |
| Arroyo Grande Hospital | Santa Maria | $179.76 | $0.06 – $27.00 |
| French Hospital | San Luis Obispo | $188.16 | $0.04 – $52.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $79.77 | $0.04 – $20.80 |
| Bakersfield Memorial Hospital | Bakersfield | $78.91 | $0.06 – $6.32 |
| Queen of The Valley Medical Center | Napa | $145.69 | $0.07 – $0.19 |
| Providence St Joseph Hospital Eureka | Eureka | $145.69 | $0.06 – $0.22 |