Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at Texas Health Harris Methodist Hospital Fort Worth
1301 Pennsylvania Avenue, Fort Worth, TX · Texashealth · · NPI 1336172105
$88.20
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.
$147.00
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.
$0.16 with Blue Cross Blue Shield vs $80.67 with Cigna — 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 |
|---|---|---|---|
| Blue Cross Blue Shield | Exchange | $0.16 | ↓ -100% |
| Blue Cross Blue Shield | HMO | $0.25 | ↓ -100% |
| Blue Cross Blue Shield | PPO | $0.27 | ↓ -100% |
| Blue Cross Blue Shield | Traditional | $1.12 | ↓ -99% |
| United Healthcare | Managed Medicaid | $11.11 | ↓ -87% |
| Amerigroup | Managed Medicaid | $11.11 | ↓ -87% |
| Blue Cross Blue Shield | Managed Medicaid | $11.11 | ↓ -87% |
| Cook Childrens | Managed Medicaid | $11.11 | ↓ -87% |
| Superior Wellcare | Managed Medicaid | $11.67 | ↓ -87% |
| Molina | Managed Medicaid | $12.00 | ↓ -86% |
| Aetna | Managed Medicaid | $12.23 | ↓ -86% |
| Aetna | Whole Health | $29.65 | ↓ -66% |
| Fort Worth Firefighters | Commercial | $32.15 | ↓ -64% |
| City of Fort Worth | Commercial | $32.58 | ↓ -63% |
| Aetna | Commercial | $39.52 | ↓ -55% |
| United Healthcare | All Payer | $44.34 | ↓ -50% |
| United Healthcare Options | PPO | $46.98 | ↓ -47% |
| Cigna | OAP/HMO | $47.39 | ↓ -46% |
| Quick Trip | Commercial | $51.44 | ↓ -42% |
| PHCS | PPO | $59.58 | ↓ -32% |
| Cigna | PPO | $59.75 | ↓ -32% |
| Aetna | Coventry | $60.10 | ↓ -32% |
| Aetna | ASA | $60.10 | ↓ -32% |
| Healthsmart | Commercial | $64.30 | ↓ -27% |
| Multiplan | Commercial | $74.59 | ↓ -15% |
| USA | MCO | $75.44 | ↓ -14% |
| Galaxy | Commercial | $75.44 | ↓ -14% |
| Cigna | Indemnity | $80.67 | ↓ -9% |
| American Health | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| Molina | Medicare Advantage | not published by hospital | — |
| Parkland | Managed Medicaid | not published by hospital | — |
| Blue Cross Blue Shield | Medicare Advantage | not published by hospital | — |
| Superior Wellcare | Medicare Advantage HMO | not published by hospital | — |
| HealthSpring | Medicare Advantage | not published by hospital | — |
| Superior Wellcare | Medicare Advantage MMP | not published by hospital | — |
| United Healthcare | Medicare Advantage HMO | not published by hospital | — |
| United Healthcare | Medicare Advantage PPO | not published by hospital | — |
| Amerigroup | Medicare Advantage | not published by hospital | — |
| Amerigroup | Medicare Advantage HMO | not published by hospital | — |
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 SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $129.00 | $0.02 – $61.62 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $88.20 | $0.16 – $0.16 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth | $88.20 | $0.16 – $0.16 |
| Adventhealth Rollins Brook | Lampasas | $50.85 | $0.46 – $0.46 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $129.00 | $0.02 – $61.62 |
| 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 |