Acyclovir 400 mg tablet at ST HELENA HOSPITAL

10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082

Source: hospital's published price file ↗ · Published Jul 15, 2026 · Ingested Sep 16, 2026

$142.93

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.

$952.84

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.

$62.71 with UHC SELECT/SELECT PLUS vs $141.46 with VA 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
UHC SELECT/SELECT PLUS UHC SELECT/SELECT PLUS $62.71 ↓ -56%
BLUE SHIELD BEHAV HLTH BLUE SHIELD BEHAV HLTH $63.66 ↓ -55%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $65.64 ↓ -54%
BLUE SHIELD EPN-ALL OTHER PLANS BLUE SHIELD EPN-ALL OTHER PLANS $66.63 ↓ -53%
UHC JLL UHC JLL $67.55 ↓ -53%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $71.10 ↓ -50%
AETNA-ALL PLANS AETNA-ALL PLANS $73.56 ↓ -49%
PHCS-ALL PLANS PHCS-ALL PLANS $77.80 ↓ -46%
WESTERN GROWERS-ALL PLANS WESTERN GROWERS-ALL PLANS $82.04 ↓ -43%
INTERPLAN-ALL PLANS INTERPLAN-ALL PLANS $84.87 ↓ -41%
HEALTHNET-ALL PLANS HEALTHNET-ALL PLANS $86.73 ↓ -39%
UMR UHC PPO UMR UHC PPO $90.04 ↓ -37%
UHC OPTIONS PPO UHC OPTIONS PPO $90.18 ↓ -37%
CHOICECARE-ALL PLANS CHOICECARE-ALL PLANS $99.02 ↓ -31%
BEECH STREET-ALL PLANS BEECH STREET-ALL PLANS $106.09 ↓ -26%
CIGNA-ALL OTHER PLANS CIGNA-ALL OTHER PLANS $113.17 ↓ -21%
KAISER-ALL OTHER PLANS KAISER-ALL OTHER PLANS $115.99 ↓ -19%
HEALTH MANAGEMENT NETWORK-ALL PLANS HEALTH MANAGEMENT NETWORK-ALL PLANS $120.24 ↓ -16%
THREE RIVERS-ALL PLANS THREE RIVERS-ALL PLANS $127.31 ↓ -11%
GALAXY NETWORK-ALL PLANS GALAXY NETWORK-ALL PLANS $127.31 ↓ -11%
VA MEDI-CAL VA MEDI-CAL $141.46 ↓ -1%

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
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
ADVENTIST HEALTH CLEARLAKE HOSPITAL Clearlake $84.60 $1.14 – $1.14

All California hospitals for this procedure →