Acyclovir 400 mg tablet at WHITE MEMORIAL MEDICAL CENTER
1720 E Cesar E Chavez Ave Los Angeles CA 90033|309 W Beverly Blvd, MONTEBELLO, CA · Adventisthealth · · NPI 1215927470
$227.48
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.
$1,263.78
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.
$44.68 with BLUE SHIELD MEDI-CAL vs $679.88 with CARE FIRST 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 →
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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 |
|---|---|---|---|
| BLUE SHIELD MEDI-CAL | BLUE SHIELD MEDI-CAL | $44.68 | ↓ -80% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $46.23 | ↓ -80% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $53.81 | ↓ -76% |
| BLUE SHIELD MCR ADV | BLUE SHIELD MCR ADV | $58.28 | ↓ -74% |
| UHC JLL | UHC JLL | $73.82 | ↓ -68% |
| PACIFIC IPA - ALL OTHER PLANS | PACIFIC IPA - ALL OTHER PLANS | $73.82 | ↓ -68% |
| UHC HMO | UHC HMO | $77.62 | ↓ -66% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $77.70 | ↓ -66% |
| KAISER- ALL PLANS | KAISER- ALL PLANS | $79.64 | ↓ -65% |
| CIGNA | CIGNA | $82.17 | ↓ -64% |
| CIGNA ALL OTHER - ALL OTHER PLANS | CIGNA ALL OTHER - ALL OTHER PLANS | $82.17 | ↓ -64% |
| HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $87.84 | ↓ -61% |
| HEALTHNET COMM CARE | HEALTHNET COMM CARE | $90.62 | ↓ -60% |
| OPTUM MCR ADV | OPTUM MCR ADV | $93.24 | ↓ -59% |
| OPTUM HMO - ALL OTHER PLANS | OPTUM HMO - ALL OTHER PLANS | $93.24 | ↓ -59% |
| CAREMORE MCARE - ALL PLANS | CAREMORE MCARE - ALL PLANS | $97.13 | ↓ -57% |
| UHC SIGNATURE | UHC SIGNATURE | $97.13 | ↓ -57% |
| HCPAMG - ALL PLANS | HCPAMG - ALL PLANS | $97.32 | ↓ -57% |
| LA CARE MCR ADV - ALL PLANS | LA CARE MCR ADV - ALL PLANS | $106.84 | ↓ -53% |
| HEALTHCARE INC - ALL OTHER PLANS | HEALTHCARE INC - ALL OTHER PLANS | $106.84 | ↓ -53% |
| WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $108.78 | ↓ -52% |
| FIRST HEATLH PPO - ALL PLANS | FIRST HEATLH PPO - ALL PLANS | $112.67 | ↓ -50% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $126.26 | ↓ -44% |
| SCAN HEALTH MCARE - ALL PLANS | SCAN HEALTH MCARE - ALL PLANS | $126.26 | ↓ -44% |
| AHF - ALL PLANS | AHF - ALL PLANS | $145.69 | ↓ -36% |
| BEECH STREET - ALL PLANS | BEECH STREET - ALL PLANS | $145.69 | ↓ -36% |
| INTERPLAN PPO - ALL PLANS | INTERPLAN PPO - ALL PLANS | $145.69 | ↓ -36% |
| CORVEL CORP - ALL PLANS | CORVEL CORP - ALL PLANS | $155.40 | ↓ -32% |
| MULTIPLAN PPO - ALL PLANS | MULTIPLAN PPO - ALL PLANS | $161.23 | ↓ -29% |
| TRPN - ALL PLANS | TRPN - ALL PLANS | $165.11 | ↓ -27% |
| HEALTHMANNET - ALL PLANS | HEALTHMANNET - ALL PLANS | $165.11 | ↓ -27% |
| NEXT INC PPO - ALL PLANS | NEXT INC PPO - ALL PLANS | $165.11 | ↓ -27% |
| BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA | BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA | $174.83 | ↓ -23% |
| FPN PPO - ALL PLANS | FPN PPO - ALL PLANS | $174.83 | ↓ -23% |
| MEDI-CAL | MEDI-CAL | $194.25 | ↓ -15% |
| MOLINA MEDI-CAL | MOLINA MEDI-CAL | $194.25 | ↓ -15% |
| ALTA LOS ANGELES MCAL 1/1/19 | ALTA LOS ANGELES MCAL 1/1/19 | $194.25 | ↓ -15% |
| AHP MEDI-CAL | AHP MEDI-CAL | $194.25 | ↓ -15% |
| ACCESS MEDI-CAL | ACCESS MEDI-CAL | $194.25 | ↓ -15% |
| PACIFIC ALLIANCE MEDI-CAL | PACIFIC ALLIANCE MEDI-CAL | $194.25 | ↓ -15% |
| PACIFIC IPA MEDI-CAL | PACIFIC IPA MEDI-CAL | $194.25 | ↓ -15% |
| PREFERRED IPA LA CARE MCAL CAP | PREFERRED IPA LA CARE MCAL CAP | $194.25 | ↓ -15% |
| PREFERRED MEDI-CAL | PREFERRED MEDI-CAL | $194.25 | ↓ -15% |
| HEALTHCARE INC MEDI-CAL | HEALTHCARE INC MEDI-CAL | $194.25 | ↓ -15% |
| BELLA VISTA MEDI-CAL OP/PROFEE ONLY | BELLA VISTA MEDI-CAL OP/PROFEE ONLY | $194.25 | ↓ -15% |
| AVANTI MCAL | AVANTI MCAL | $194.25 | ↓ -15% |
| LASALLE MG MEDI-CAL | LASALLE MG MEDI-CAL | $194.25 | ↓ -15% |
| ALTAMED MEDI-CAL - ALL OTHER PLANS | ALTAMED MEDI-CAL - ALL OTHER PLANS | $223.39 | ↓ -2% |
| HEALTHNET MCAL | HEALTHNET MCAL | $231.35 | ↑ +2% |
| FCS IPA MEDI-CAL OP/PROFEE ONLY | FCS IPA MEDI-CAL OP/PROFEE ONLY | $233.10 | ↑ +2% |
| PREFERRED HEALTHY | PREFERRED HEALTHY | $242.81 | ↑ +7% |
| ASSOC HISPANIC PHYSCNS MCAL | ASSOC HISPANIC PHYSCNS MCAL | $271.95 | ↑ +20% |
| HEALTHNET MCR ADV | HEALTHNET MCR ADV | $297.20 | ↑ +31% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $452.41 | ↑ +99% |
| CARE FIRST MEDI-CAL | CARE FIRST MEDI-CAL | $679.88 | ↑ +199% |
Visitor-reported prices
Comments
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 |