Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at cleveland clinic childrens hospital for rehabilitation

2801 Martin Luther King Jr. Drive, Cleveland, OH · Cleveland Clinic · · NPI 1033161948

Source: hospital's published price file ↗ · Published Jun 15, 2026 · Ingested Aug 12, 2026

$3.59

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.

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What you pay up front if you don't use insurance.

$5.52

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.

$1.36 with OSCAR vs $15.51 with AMERIHEALTH — 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
OSCAR ALL PRODUCTS $1.36 ↓ -62%
Aultcare PPO/HMO $1.37 ↓ -62%
PHPHI ALL PRODUCTS $1.54 ↓ -57%
PHP ALL PRODUCTS $1.54 ↓ -57%
Summacare Preferred $1.68 ↓ -53%
CIGNA ALL PRODUCTS $1.78 ↓ -50%
Summacare PREMIER $1.83 ↓ -49%
MMO TRADITIONAL $1.95 ↓ -46%
Buckeye Managed Medicaid $2.00 ↓ -44%
ANTHEM HPN $2.01 ↓ -44%
Amish Community Aid Plan ALL PRODUCTS $2.16 ↓ -40%
OPTUM All Products Transplant $2.26 ↓ -37%
ANTHEM TRADITIONAL $2.29 ↓ -36%
UNITED ALL PRODUCTS $2.31 ↓ -36%
OPTUM Commercial CHD Care Solutions $2.31 ↓ -36%
OHCP ALL PRODUCTS $2.33 ↓ -35%
ANTHEM PPO/HMO $2.36 ↓ -34%
OPTUM Commercial CRS Care Solutions $2.45 ↓ -32%
HEALTHSMART ALL PRODUCTS $2.64 ↓ -26%
UPMC ALL PRODUCTS $2.88 ↓ -20%
The Health Plan ALL PRODUCTS $2.88 ↓ -20%
THREE RIVERS ALL PRODUCTS $3.12 ↓ -13%
Medical Benefit Corp Transplant SMCP $3.36 ↓ -6%
GMS ALL PRODUCTS $3.36 ↓ -6%
Quality Care Partners ALL PRODUCTS $3.36 ↓ -6%
CC EHP ALL PRODUCTS $3.40 ↓ -5%
Consociate Health ALL PRODUCTS $3.60 ↑ +0%
AETNA ALL PRODUCTS $3.60 ↑ +0%
AETNA Acop $3.75 ↑ +4%
Ohio Healthy Transplant $3.84 ↑ +7%
Evernorth (Cigna BH) All Products Psychiatrist $3.84 ↑ +7%
Managed Care Services TRANSPLANT $4.32 ↑ +20%
MULTIPLAN ALL PRODUCTS $4.32 ↑ +20%
AETNA Asa_Whirlpool_Peia (Hmo) $4.32 ↑ +20%
USA Managed Care ALL PRODUCTS $4.32 ↑ +20%
AETNA International $4.56 ↑ +27%
AETNA Asa_Whirlpool_Peia (Pos_Epo_Ppo) $4.58 ↑ +28%
AETNA Qhp/Ipf $4.80 ↑ +34%
OPTUM Managed Medicaid Transplant $13.40 ↑ +273%
Paramount Managed Medicaid $14.52 ↑ +304%
ANTHEM Managed Medicaid $14.81 ↑ +313%
MOLINA Managed Medicaid $14.81 ↑ +313%
UNITED Managed Medicaid $15.09 ↑ +320%
CARESOURCE Managed Medicaid $15.09 ↑ +320%
AMERIHEALTH Managed Medicaid $15.51 ↑ +332%
AETNA NAP not published by hospital

Visitor-reported prices

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

Hospital City Cash price Negotiated range
fairview hospital Cleveland $3.59 $0.11 – $9.14
lutheran hospital Cleveland $3.59 $0.11 – $8.70
cleveland clinic main campus Cleveland not published $0.03 – $11.17
Jewish Hospital Cincinnati $120.48 not published
Kings Mills Hospital Mason $129.42 not published
Mercy West Hospital Cincinnati $50.76 not published
St Ritas Medical Center Lima $245.70 not published
Trinity Medical Center East Steubenville $18.85 $0.05 – $13.09

All Ohio hospitals for this procedure →