Acyclovir 400 mg tablet at CHRISTUS Health - West Beaumont

6025 Metropolitan Drive, Beaumont, TX · Christushealth · · NPI 1679557888

Source: hospital's published price file ↗ · Published Jan 13, 2026 · Ingested Sep 16, 2026

$21.50

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.

$65.16

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.

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The hospital's undiscounted list price — almost no one pays this.

$0.68 with United Healthcare vs $6.67 with United Healthcare — 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.

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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
United Healthcare Star Plus KM $0.68 ↓ -97%
United Healthcare Star KM $0.68 ↓ -97%
United Healthcare Star Kid KM $0.68 ↓ -97%
United Healthcare Chip KM $0.68 ↓ -97%
Community Health Choice Chip KM $0.75 ↓ -97%
Superior Chip KM $0.75 ↓ -97%
Superior Star Plus KM $0.75 ↓ -97%
Superior Foster Care KM $0.75 ↓ -97%
Superior Star KM $0.75 ↓ -97%
Amerigroup Star Plus KM $0.81 ↓ -96%
Amerigroup Star Kids KM $0.81 ↓ -96%
Texas Childrens Health Plan Star Kids KM $0.81 ↓ -96%
Texas Childrens Health Plan Star Plus KM $0.81 ↓ -96%
Texas Childrens Health Plan Chip KM $0.81 ↓ -96%
Community Health Choice Star KM $0.81 ↓ -96%
Amerigroup Chip KM $0.81 ↓ -96%
Amerigroup Star KM $0.81 ↓ -96%
Christus Health Med Adv MM $1.02 ↓ -95%
Christus Health HIX $1.43 ↓ -93%
Aetna MM $1.63 ↓ -92%
Molina Star Plus KM $2.04 ↓ -91%
Molina Star KM $2.04 ↓ -91%
Molina Chip KM $2.04 ↓ -91%
Cigna New Business $2.66 ↓ -88%
Amerigroup MM $2.73 ↓ -87%
Imperial Health Plan MM $2.73 ↓ -87%
Blue Cross Blue Shield Of Texas Blue Advantage HMO $3.07 ↓ -86%
Healthcare Highways PPO $3.07 ↓ -86%
Devoted Health Plan MM $3.41 ↓ -84%
LSU First Choice Verity PPO $3.41 ↓ -84%
ADV Cardiovas Specialist MM $3.41 ↓ -84%
Blue Cross Blue Shield Of Texas HEB $3.55 ↓ -83%
Blue Cross Blue Shield Of Texas HMO $3.55 ↓ -83%
Blue Cross Blue Shield Of Texas PPO $3.96 ↓ -82%
Naphcare Inc. RRMB $4.09 ↓ -81%
Verity HealthNet PPO $4.09 ↓ -81%
Cigna PPO $4.09 ↓ -81%
Blue Cross Blue Shield Of Texas Traditional $4.16 ↓ -81%
Aetna New Business $4.23 ↓ -80%
First Health PPO $4.43 ↓ -79%
Healthsmart Accel PPO $4.43 ↓ -79%
Aetna EPO $4.71 ↓ -78%
Aetna PPO $4.71 ↓ -78%
Aetna POS $4.71 ↓ -78%
Aetna HMO $4.71 ↓ -78%
Five Point Credit Union PPO $4.78 ↓ -78%
Multiplan PPO $4.78 ↓ -78%
MCT Credit Union All Plans $4.78 ↓ -78%
Partners Direct Health PPO $4.78 ↓ -78%
Phcs PPO $4.78 ↓ -78%
Beech Street PPO $5.46 ↓ -75%
HealthSmart PPO $5.46 ↓ -75%
Health Management Network PPO $5.46 ↓ -75%
Provider Select PPO $5.46 ↓ -75%
Verity Healthnet National PPO $5.80 ↓ -73%
Triwest VA MM $5.80 ↓ -73%
United Healthcare HIX $6.22 ↓ -71%
United Healthcare All Payer $6.67 ↓ -69%

Visitor-reported prices

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Acyclovir 400 mg tablet at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $54.77 $1.46 – $7.32
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $54.77 $0.77 – $5.61
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $54.77 $0.75 – $4.67
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $54.77 $1.38 – $7.32
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $54.77 $1.20 – $5.61
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $54.77 $1.93 – $5.61
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $54.77 $1.25 – $5.61
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $54.77 $1.38 – $7.32

All Texas hospitals for this procedure →