Acyclovir 400 mg tablet at Northwestern Medicine Marianjoy Rehabilitation Hospital

26W171 Roosevelt Road, Wheaton, IL · Nm · · NPI 1083660658

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 17, 2026

$235.02

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.

$335.75

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.

$0.47 with AETNA HEALTH PLAN [171] vs $1.00 with HUMANA HEALTH PLAN [130] — 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
AETNA HEALTH PLAN [171] MRH AETNA NM EMPLOYEES $0.47 ↓ -100%
CIGNA HEALTH PLAN [178] MRH CIGNA BROAD $0.50 ↓ -100%
THE ALLIANCE [1703] MRH THE ALLIANCE $0.54 ↓ -100%
BLUE CROSS BLUE SHIELD [1401] MRH BCBS BLUECHOICE SELECT $0.55 ↓ -100%
BLUE CROSS BLUE SHIELD [1401] MRH BCBS BLUECHOICE OPTIONS $0.55 ↓ -100%
BLUE CROSS BLUE SHIELD [1401] MRH BCBS BLUECHOICE PREFERRED $0.55 ↓ -100%
BLUE CROSS BLUE SHIELD [1401] MRH BCBS PAR/INDEMNITY ADP $0.56 ↓ -100%
BLUE CROSS BLUE SHIELD [1401] MRH BCBS HMO $0.58 ↓ -100%
ALTERNATE BLUE CROSS [1402] MRH BCBS HMO $0.58 ↓ -100%
CIGNA HEALTH PLAN [178] MRH CIGNA NARROW $0.60 ↓ -100%
BLUE CROSS BLUE SHIELD [1401] MRH BCBS PPO $0.61 ↓ -100%
ALTERNATE BLUE CROSS [1402] MRH BCBS PPO $0.61 ↓ -100%
MULTIPLAN/PHCS [142] MRH NON-CONTRACTED PAYORS $1.00 ↓ -100%
AETNA HEALTH PLAN [171] MRH NON-CONTRACTED PAYORS $1.00 ↓ -100%
FIRST HEALTH PLAN [6034] MRH NON-CONTRACTED PAYORS $1.00 ↓ -100%
UNITED HEALTHCARE [158] MRH NON-CONTRACTED PAYORS $1.00 ↓ -100%
HUMANA HEALTH PLAN [130] MRH NON-CONTRACTED PAYORS $1.00 ↓ -100%
UNITED HEALTHCARE [158] MRH UHC ALL OTHER not published by hospital
UNITED HEALTHCARE [158] MRH UHC CORE not published by hospital
AETNA HEALTH PLAN [171] MRH AETNA not published by hospital
IMAGINE HEALTH [6032] MRH IMAGINE HEALTH not published by hospital
AETNA HEALTH PLAN [171] MRH IMAGINE HEALTH not published by hospital
ALTERNATE BLUE CROSS MEDICARE ADV [2304] MRH MEDICARE not published by hospital
ALTERNATE HUMANA MEDICARE ADV [2409] MRH MEDICARE not published by hospital
BLUE CROSS BLUE SHIELD [1401] MRH DREYER - IPA not published by hospital
BLUE CROSS BLUE SHIELD [1401] MRH DUPAGE MEDICAL GROUP (IHP) not published by hospital
BLUE CROSS BLUE SHIELD [1401] MRH LOYOLA UNIVERSITY MED CENTER - IPA not published by hospital
BLUE CROSS BLUE SHIELD [1401] MRH UNIVERSITY OF IL MED CENTER - IPA not published by hospital
FIRST HEALTH PLAN [6034] MRH AETNA not published by hospital
FIRST HEALTH PLAN [6034] MRH FIRST HEALTH not published by hospital
GLOBAL EXCEL [1712] MRH MEDICARE not published by hospital
HEALTH'S FINEST NETWORK [126] MRH HFN not published by hospital
HEALTHLINK [125] MRH SEIU HEALTHLINK not published by hospital
HUMANA HEALTH PLAN [130] MRH DREYER - IPA not published by hospital
HUMANA HEALTH PLAN [130] MRH DUPAGE MEDICAL GROUP (IHP) not published by hospital
HUMANA HEALTH PLAN [130] MRH UNIVERSITY OF IL MED CENTER - IPA not published by hospital
MULTIPLAN/PHCS [142] MRH PHCS not published by hospital

Visitor-reported prices

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Acyclovir 400 mg tablet at other Illinois hospitals

Hospital City Cash price Negotiated range
Northwestern Medicine Central DuPage Hospital IL 60190 $762.47 not published
Northwestern Medicine Valley West Hospital Sandwich $291.55 not published
Northwestern Medicine Delnor Hospital Geneva $715.05 not published
Northwestern Medicine Palos Hospital Palos Heights $91.00 not published
Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital Lake Forest $134.22 not published
Northwestern Medicine McHenry Hospital McHenry $203.17 not published
Advocate Christ Medical Center Oak Lawn not published not published
Advocate Condell Medical Center Libertyville not published not published

All Illinois hospitals for this procedure →