Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at MEDICAL CITY DALLAS HOSPITAL
7777 Forest Lane, Dallas, TX · Medicalcityhealthcare · · NPI 1689628984
$85.75
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.
$85.75
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.
$0.04 with Humana vs $85.75 with Unicare — 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 |
|---|---|---|---|
| Humana | Tricare | $0.04 | ↓ -100% |
| TriWest Health Alliance | TRCR | $0.04 | ↓ -100% |
| Cigna | NewBusiness | $0.18 | ↓ -100% |
| Cigna | LocalPlus | $0.18 | ↓ -100% |
| United | NarrowNetworkIndivExchange | $0.20 | ↓ -100% |
| Cigna | NetworkBenefit | $0.20 | ↓ -100% |
| Cigna | OpenAccessPlus | $0.20 | ↓ -100% |
| Cigna | HMO | $0.20 | ↓ -100% |
| United | AllPayerAppendix | $0.20 | ↓ -100% |
| United | SmallGroup | $0.20 | ↓ -100% |
| Humana | COMM | $0.21 | ↓ -100% |
| Cigna | AllOther | $0.26 | ↓ -100% |
| BCBS | BluePremier | $0.33 | ↓ -100% |
| BCBS | MyBlueHealth | $0.41 | ↓ -100% |
| BCBS | BlueAdvantageHMO | $0.41 | ↓ -100% |
| BCBS | BlueEssentials | $0.61 | ↓ -99% |
| BCBS | BlueEssentialsAccess | $0.61 | ↓ -99% |
| BCBS | EPOSOA | $0.64 | ↓ -99% |
| BCBS | PPO | $0.67 | ↓ -99% |
| Superior Health Plan | STARKids | $6.00 | ↓ -93% |
| Superior Health Plan | CHIP | $6.00 | ↓ -93% |
| Superior Health Plan | STARHealth | $6.00 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $6.00 | ↓ -93% |
| Superior Health Plan | STARPLUS | $6.00 | ↓ -93% |
| Optum Health | MCD | $9.43 | ↓ -89% |
| Cigna | IFP | $11.58 | ↓ -86% |
| Cigna | QHP | $12.01 | ↓ -86% |
| Aetna | QHPHIX | $13.98 | ↓ -84% |
| Religious Order of Jehovah Witness | LOGOV | $17.15 | ↓ -80% |
| United | OptionsPPO | $18.44 | ↓ -78% |
| Aetna | NewBusiness | $20.41 | ↓ -76% |
| Unicare | CHIP | $20.58 | ↓ -76% |
| Aetna | Meritain | $21.95 | ↓ -74% |
| Aetna | COMM | $21.95 | ↓ -74% |
| Aetna | OON | $25.73 | ↓ -70% |
| Healthcare Highways | CityofPlano | $28.98 | ↓ -66% |
| Healthcare Highways NTX | CityofPlanoEmployeeBenefitPlan | $30.01 | ↓ -65% |
| Prominence Health Plan | HIX | $34.30 | ↓ -60% |
| BCBS | Traditional | $38.07 | ↓ -56% |
| City of McKinney | COMM | $38.59 | ↓ -55% |
| Emerging Therapy Solutions | MCR | $42.02 | ↓ -51% |
| National ChoiceCare | WCOMP | $42.88 | ↓ -50% |
| Aetna | ASA | $45.19 | ↓ -47% |
| Cigna Lifesource | COMM | $47.16 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $47.16 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $47.16 | ↓ -45% |
| PC Texas Partners | WCOMP | $47.16 | ↓ -45% |
| Aetna | WCOMP | $47.16 | ↓ -45% |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $48.02 | ↓ -44% |
| Averde Health, Inc | PPO | $49.73 | ↓ -42% |
| Aetna Coventry First Health | EXCLUSIVE | $50.51 | ↓ -41% |
| Aetna Coventry First Health | NONEXCLUSIVE | $50.51 | ↓ -41% |
| Emerging Therapy Solutions | COMM | $57.45 | ↓ -33% |
| Coastal Comp Health Networks | WCOMP | $60.02 | ↓ -30% |
| Mega Life | MGMCRPPO | $60.02 | ↓ -30% |
| HealthSmart Preferred Care | PPO | $60.88 | ↓ -29% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $64.31 | ↓ -25% |
| USC Health Services | COMM | $68.60 | ↓ -20% |
| USA Managed Care | COMM | $68.60 | ↓ -20% |
| Galaxy Health Network | PPO | $72.89 | ↓ -15% |
| Optum Health (URN) | COMM | $76.32 | ↓ -11% |
| National Healthcare Solutions | COMM | $85.75 | ↑ +0% |
| Independent Medical Systems | COMM | $85.75 | ↑ +0% |
| Unicare | MCD | $85.75 | ↑ +0% |
Visitor-reported prices
Comments
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $129.00 | $0.02 – $61.62 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $88.20 | $0.16 – $0.16 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $0.04 – $0.21 |
| Adventhealth Rollins Brook | Lampasas | $50.85 | $0.46 – $0.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $129.00 | $0.02 – $65.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $129.00 | $0.02 – $54.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $129.00 | $0.02 – $61.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $129.00 | $0.02 – $65.25 |