Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at MEDICAL CITY FRISCO HOSPITAL

5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$653.99

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.

$653.99

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 Humana vs $41.19 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 →

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
Humana Tricare $0.04 ↓ -100%
TriWest Health Alliance TRCR $0.04 ↓ -100%
Cigna NewBusiness $0.18 ↓ -100%
Cigna LocalPlus $0.18 ↓ -100%
United SmallGroup $0.20 ↓ -100%
Cigna NetworkBenefit $0.20 ↓ -100%
United AllPayerAppendix $0.20 ↓ -100%
Cigna OpenAccessPlus $0.20 ↓ -100%
United NarrowNetworkIndivExchange $0.20 ↓ -100%
Cigna HMO $0.20 ↓ -100%
Humana COMM $0.21 ↓ -100%
Cigna AllOther $0.26 ↓ -100%
BCBS BluePremier $0.40 ↓ -100%
BCBS MyBlueHealth $0.41 ↓ -100%
BCBS BlueAdvantageHMO $0.41 ↓ -100%
BCBS BlueEssentials $0.61 ↓ -100%
BCBS BlueEssentialsAccess $0.61 ↓ -100%
BCBS EPOSOA $0.64 ↓ -100%
BCBS PPO $0.67 ↓ -100%
Superior Health Plan STARPLUS $2.88 ↓ -100%
Superior Health Plan CHIP $2.88 ↓ -100%
Superior Health Plan STARKids $2.88 ↓ -100%
Superior Health Plan STARHealth $2.88 ↓ -100%
Superior Health Plan MCDSTAR $2.88 ↓ -100%
Cigna IFP $4.42 ↓ -99%
Cigna QHP $4.58 ↓ -99%
Aetna QHPHIX $5.34 ↓ -99%
United OptionsPPO $5.70 ↓ -99%
Aetna NewBusiness $7.79 ↓ -99%
Aetna COMM $8.38 ↓ -99%
Aetna Meritain $8.38 ↓ -99%
Aetna OON $9.82 ↓ -98%
Healthcare Highways CityofPlano $11.07 ↓ -98%
LifeCare Hospitals MGMCR $12.36 ↓ -98%
LifeCare Hospitals MGMCD $12.36 ↓ -98%
Prominence Health Plan HIX $13.10 ↓ -98%
Aetna ASA $17.25 ↓ -97%
BCBS Traditional $18.29 ↓ -97%
City of McKinney COMM $18.54 ↓ -97%
Aetna Coventry First Health EXCLUSIVE $19.81 ↓ -97%
Aetna Coventry First Health NONEXCLUSIVE $19.81 ↓ -97%
National ChoiceCare WCOMP $20.59 ↓ -97%
PC Texas Partners WCOMP $22.65 ↓ -97%
Aetna WCOMP $22.65 ↓ -97%
Rockport Health Group WORKERSCOMP $22.65 ↓ -97%
Physicians Coop of TX MGMCR $22.65 ↓ -97%
Averde Health, Inc PPO $23.89 ↓ -96%
Texas Healthcare Foundation WC WORKERSCOMP $26.77 ↓ -96%
Mega Life MGMCRPPO $28.83 ↓ -96%
Coastal Comp Health Networks WCOMP $28.83 ↓ -96%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $30.89 ↓ -95%
HealthSmart Preferred Care PPO $30.89 ↓ -95%
Independent Medical Systems COMM $32.74 ↓ -95%
National Healthcare Solutions COMM $32.74 ↓ -95%
USA Managed Care COMM $32.95 ↓ -95%
USC Health Services COMM $32.95 ↓ -95%
Galaxy Health Network PPO $35.01 ↓ -95%
Unicare MCD $41.19 ↓ -94%

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
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $129.00 $0.02 – $61.62
BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY Frisco $129.00 $20.30 – $61.62
Texas Health Hospital Frisco Frisco $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 - COLLEGE STATION College Station $129.00 $0.02 – $65.25

All Texas hospitals for this procedure →