Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at HCA HOUSTON CLEAR LAKE

225 E PARKWOOD AVE, FRIENDSWOOD, TX · HCA Houston Healthcare · · NPI 1063466035

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 10, 2026

not published by hospital

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.

Full explanation →

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

not published by hospital

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.

$0.04 with Christus (USFHP) vs $18.68 with Multiplan — 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
Christus (USFHP) TRICARE $0.04
TriWest Health Alliance TRCR $0.04
Cigna CSN $0.07
Cigna OpenAccessPlus $0.08
Cigna PPO $0.09
United SmallGroup $0.20
United AllPayerAppendix $0.20
United NarrowNetworkIndivExchange $0.20
BCBS MyBlueHealth $0.24
BCBS BAV $0.26
Humana HMO $0.29
Humana PPO $0.29
BCBS HMO $0.32
BCBS EPOSOA $0.32
BCBS PPO $0.32
Superior Health Plan CHPFC $1.25
Superior Health Plan STAR $1.25
Superior Health Plan STARKids $1.25
Superior Health Plan STARPLUS $1.25
Superior Health Plan CHIP $1.25
Aetna MCR $1.38
Community Health Choice MCD CHIP $2.70
Community Health Choice MCD CHIPPerinatal $2.70
Community Health Choice MCD STAR+PLUS $2.70
Community Health Choice MCD STAR $2.70
Amerigroup MCDCHIPBH $2.91
Amerigroup MGMCD $2.91
Texas Childrens Health Plans CHIP $3.45
United OptionsPPO $3.65
Texas Childrens Health Plans STAR $4.92
Texas Childrens Health Plans STARKIDS $4.92
Texas Workforce Commission WCOMP $4.98
IPA Management Services COMM $5.19
Molina Healthcare HIX $5.61
CHC Harris Health Indigent $6.23
BCBS Traditional $7.27
HealthSmart Preferred Care ACCEL $8.93
United GlobalAppendix $9.34
Coventry National First Health COMM $11.07
Physicians Cooperative of Texas WC $11.42
Rockport Workers Comp COMM $11.42
SouthWest Medical WORKERSCOMP $12.46
Independent Medical System COMM $12.46
National Healthcare Solutions COMM $12.46
Beech Street WCOMP $12.46
Coastal Comp COMM $13.49
Cigna Behavioral Health COMMBH $16.61
TriWest Healthcare Alliance Veterans $16.61
Beech Street COMMPPO $16.61
HealthSmart Preferred Care PPO $17.02
Physicians, INC COMM $17.65
HealthSmart Preferred Care ACCOUNTABLEPPO $17.65
Affiliated PPO COMM $18.68
Multiplan COMPLEMENTARYPPO $18.68

Visitor-reported prices

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

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $50.85 $0.46 – $0.46
St. Luke's Health - Patients Medical Center Pasadena $8.82 $0.07 – $18.90
Baylor St Luke's Medical Center Houston $25.40 $0.09 – $54.79
St. Joseph Health Madison Hospital Madisonville $3.29 $0.03 – $2.72
St. Luke's Health Memorial Lufkin Lufkin $120.90 $0.03 – $370.18
St. Luke's Health - Sugar Land Hospital Sugar Land $25.40 $0.07 – $54.79
St. Luke's Health - Springwoods Village Hospital Spring $25.40 $0.07 – $54.79
St. Joseph Health College Station Hospital College Station $3.29 $0.03 – $2.57

All Texas hospitals for this procedure →