Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr 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

$23.76

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.

$158.41

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.

$0.10 with UMR UHC PPO vs $158.41 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
UMR UHC PPO UMR UHC PPO $0.10 ↓ -100%
AETNA-ALL PLANS AETNA-ALL PLANS $0.26 ↓ -99%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $0.29 ↓ -99%
BLUE CROSS NON MCS BLUE CROSS NON MCS $0.32 ↓ -99%
UHC SELECT/SELECT PLUS UHC SELECT/SELECT PLUS $0.33 ↓ -99%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $0.33 ↓ -99%
UHC OPTIONS PPO UHC OPTIONS PPO $0.33 ↓ -99%
UHC JLL UHC JLL $0.33 ↓ -99%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $0.38 ↓ -98%
BLUE SHIELD BEHAV HLTH BLUE SHIELD BEHAV HLTH $71.28 ↑ +200%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $73.50 ↑ +209%
BLUE SHIELD EPN-ALL OTHER PLANS BLUE SHIELD EPN-ALL OTHER PLANS $74.61 ↑ +214%
PHCS-ALL PLANS PHCS-ALL PLANS $87.13 ↑ +267%
WESTERN GROWERS-ALL PLANS WESTERN GROWERS-ALL PLANS $91.88 ↑ +287%
INTERPLAN-ALL PLANS INTERPLAN-ALL PLANS $95.05 ↑ +300%
HEALTHNET-ALL PLANS HEALTHNET-ALL PLANS $97.12 ↑ +309%
CHOICECARE-ALL PLANS CHOICECARE-ALL PLANS $110.89 ↑ +367%
BEECH STREET-ALL PLANS BEECH STREET-ALL PLANS $118.81 ↑ +400%
CIGNA-ALL OTHER PLANS CIGNA-ALL OTHER PLANS $126.73 ↑ +433%
KAISER-ALL OTHER PLANS KAISER-ALL OTHER PLANS $129.90 ↑ +447%
HEALTH MANAGEMENT NETWORK-ALL PLANS HEALTH MANAGEMENT NETWORK-ALL PLANS $134.65 ↑ +467%
THREE RIVERS-ALL PLANS THREE RIVERS-ALL PLANS $142.57 ↑ +500%
GALAXY NETWORK-ALL PLANS GALAXY NETWORK-ALL PLANS $142.57 ↑ +500%
VA MEDI-CAL VA MEDI-CAL $158.41 ↑ +567%

Visitor-reported prices

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Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at other California hospitals

Hospital City Cash price Negotiated range
Vallejo Medical Center VALLEJO $82.77 $0.03 – $0.03
St. John's Camarillo Hospital Camarillo $55.19 $0.06 – $52.26
Redwood City Medical Center Redwood City $82.77 $0.03 – $0.03
Santa Clara Medical Center SANTA CLARA $82.77 $0.03 – $0.03
Baldwin Park Medical Center BALDWIN PARK $76.86 $0.03 – $0.03
Riverside Medical Center RIVERSIDE $76.86 $0.03 – $0.03
Sacramento Medical Center SACRAMENTO $82.77 $0.03 – $0.03
Oakland Medical Center Oakland $82.77 $0.03 – $0.03

All California hospitals for this procedure →