Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at Mercy Hospital Oklahoma City
4300 W. Memorial Road, Oklahoma City, OK · Mercy · · NPI 1184721722
$91.86
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.
$141.33
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.
$2.00 with MEDICAID [20240] vs $75.72 with CENTRALINK CONTRACTED [320480] — 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 |
|---|---|---|---|
| MEDICAID [20240] | HB OKLC ARK MEDICAID | $2.00 | ↓ -98% |
| HUMANA MEDICAID CONTRACTED [320486] | HB OKLC OK MEDICAID (SOONERCARE) | $5.00 | ↓ -95% |
| AETNA MEDICAID CONTRACTED [320009] | HB OKLC OK MEDICAID (SOONERCARE) | $5.00 | ↓ -95% |
| MEDICAID [20240] | HB OKLC OK MEDICAID (SOONERCARE) | $5.00 | ↓ -95% |
| OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB OKLC OK MEDICAID (SOONERCARE) | $5.00 | ↓ -95% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB OKLC CIGNA NBD | $5.58 | ↓ -94% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB OKLC CIGNA | $6.00 | ↓ -93% |
| AETNA CONTRACTED [320008] | HB OKLC AETNA SIGNATURE ASA | $16.00 | ↓ -83% |
| WORKERS COMP [20426] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA WORK COMP | $18.93 | ↓ -79% |
| GLOBALHEALTH CONTRACTED [320144] | HB OKLC GLOBALHEALTH | $20.00 | ↓ -78% |
| AETNA CONTRACTED [320008] | HB OKLC AETNA POS HMO GATED | $22.10 | ↓ -76% |
| AETNA CONTRACTED [320008] | HB OKLC AETNA PREFERRED COX & NBD | $22.10 | ↓ -76% |
| MEDICA CONTRACTED [320239] | HB OKLC MEDICA EXCHANGE | $24.00 | ↓ -74% |
| AETNA CONTRACTED [320008] | HB OKLC AETNA PPO NON-GATED | $26.00 | ↓ -72% |
| HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION | $29.53 | ↓ -68% |
| WEBTPA CONTRACTED [320417] | HB OKLC HEART HOSPITAL EMPLOYER | $31.80 | ↓ -65% |
| OSMA HEALTH CONTRACTED [320292] | HB OKLC OSMA | $34.07 | ↓ -63% |
| AUXIANT CONTRACTED [320462] | HB OKLC ADA ARDM BUCHHEIT DEC | $45.43 | ↓ -51% |
| AITHER HEALTH CONTRACTED [320449] | HB OKLC ADA ARDM LACLEDE CHAIN DEC | $45.43 | ↓ -51% |
| AITHER HEALTH CONTRACTED [320449] | HB OKLC ADA ARDM WOODARD DEC NEW 040124 | $45.43 | ↓ -51% |
| AUXIANT CONTRACTED [320462] | HB OKLC ADA ARDM CITY OF JACKSON DEC | $45.43 | ↓ -51% |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB ARDM, OKLC HEALTHCARE HIGHWAYS | $45.43 | ↓ -51% |
| EBMS CONTRACTED [320493] | HB OKLC ADA ARDM CRADER DISTRIBUTING DEC | $45.43 | ↓ -51% |
| HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ARDM, OKLC HEALTHCARE HIGHWAYS | $45.43 | ↓ -51% |
| HEALTHLINK CONTRACTED [320179] | HB OKLC ADA ARDM SAPAUGH DEC | $45.43 | ↓ -51% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA DEC HERMANN AREA DISTRICT HOSPITAL | $45.43 | ↓ -51% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP | $45.43 | ↓ -51% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS | $45.43 | ↓ -51% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, OKLC TALL TREE DEC | $45.43 | ↓ -51% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM CITY OF JACKSON DEC | $45.43 | ↓ -51% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM DEC TOWN AND COUNTRY | $45.43 | ↓ -51% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM EASTER SEALS DEC | $45.43 | ↓ -51% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM SAPAUGH DEC | $45.43 | ↓ -51% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM SCHAEFER / QCG DEC | $45.43 | ↓ -51% |
| QUIK TRIP CONTRACTED [320447] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP | $45.43 | ↓ -51% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS | $45.43 | ↓ -51% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB OKLC ADA ARDM HMH KGFER LGNOK TISH WTGA LHCP ASI DEC | $45.43 | ↓ -51% |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB OKLC ADA ARDM WOODARD DEC NEW 040124 | $45.43 | ↓ -51% |
| IMAGINE 360 CONTRACTED [320494] | HB OKLC ADA ARDM ROBINSON CONSTRUCTION DEC | $45.43 | ↓ -51% |
| REFLECT HEALTH CONTRACTED [320492] | HB OKLC ARDM ADA WW WOOD DEC | $45.43 | ↓ -51% |
| YUZU HEALTH CONTRACTED [320521] | HB ADA ARDM OKLC LEVEL HEALTH DEC - NEW 01.01.26 | $45.43 | ↓ -51% |
| FIRST HEALTH CONTRACTED [320128] | HB OKLC AETNA - FIRST HEALTH | $45.73 | ↓ -50% |
| PREFERRED HEALTH PLAN CONTRACTED [320522] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $49.22 | ↓ -46% |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB ADA, ARDM, KGFER, OKLC, WTGA OZARKS COMMUNITY HOSPITAL | $49.22 | ↓ -46% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM CLAYCO DEC | $49.22 | ↓ -46% |
| HEALTHSMART ACCEL CONTRACTED [320183] | HB OKLC HEALTHSMART ACCEL | $49.22 | ↓ -46% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $49.22 | ↓ -46% |
| HEALTHSMART PREFERRED CARE CONTRACTED [320184] | HB OKLC HEALTHSMART PPO | $49.22 | ↓ -46% |
| AUXIANT CONTRACTED [320462] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $49.22 | ↓ -46% |
| HEALTHSCOPE CONTRACTED [320182] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $49.22 | ↓ -46% |
| HEALTHLINK CONTRACTED [320179] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $49.22 | ↓ -46% |
| POINT C CONTRACTED [320238] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $49.22 | ↓ -46% |
| TRI STATE HEALTHCARE COALITION CONTRACTED [320379] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $49.22 | ↓ -46% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $49.22 | ↓ -46% |
| FEDERAL MEDICAL CENTER CONTRACTED [320127] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $49.22 | ↓ -46% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB OKLC PHCS SAVILITY | $49.22 | ↓ -46% |
| HUMANA CONTRACTED [320193] | HB OKLC HUMANA CHOICECARE | $52.25 | ↓ -43% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB OKLC PHCS PRIMARY | $53.00 | ↓ -42% |
| COMMUNITY CARE CONTRACTED [320080] | HB OKLC CCL&H | $53.00 | ↓ -42% |
| COMMUNITY CARE CONTRACTED [320080] | HB OKLC COMMUNITY CARE | $53.00 | ↓ -42% |
| MULTIPLAN CONTRACTED [320270] | HB OKLC PHCS PRIMARY | $53.00 | ↓ -42% |
| PREFERRED COMMUNITY CHOICE CONTRACTED [320311] | HB OKLC PREFERRED COMMUNITY CHOICE | $57.55 | ↓ -37% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB OKLC PHCS COMPLEMENTARY | $68.15 | ↓ -26% |
| MULTIPLAN CONTRACTED [320270] | HB OKLC PHCS COMPLEMENTARY | $68.15 | ↓ -26% |
| CENTRALINK CONTRACTED [320480] | HB OKLC CENTRALINK WORK COMP SURGICAL BUNDLES NEW 100123 | $75.72 | ↓ -18% |
Visitor-reported prices
Comments
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Ardmore | Northwest Ardmore | $102.37 | $10.00 – $40.00 |
| Mercy Hospital Healdton | Healdton | $102.37 | $10.00 – $10.00 |
| Mercy Hospital Kingfisher | Kingfisher | $49.22 | $5.00 – $5.00 |
| Mercy Hospital Logan County | Guthrie | $49.22 | $5.00 – $5.00 |