Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at Baylor St Luke's Medical Center
1101 Bates Avenue, Houston, TX · CommonSpirit Health · · NPI 1184622847
$25.40
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.
$72.57
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.
$0.09 with United vs $54.79 with MHealth Network — 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 |
|---|---|---|---|
| United | Commercial|Exchange | $0.09 | ↓ -100% |
| Cigna | Commercial|Surefit | $0.09 | ↓ -100% |
| Cigna | Commercial|HMO | $0.09 | ↓ -100% |
| Cigna | Commercial|PPO | $0.09 | ↓ -100% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $0.11 | ↓ -100% |
| United | Commercial|HMO | $0.12 | ↓ -100% |
| United | Commercial|PPO | $0.12 | ↓ -100% |
| United | Commercial|Charter | $0.12 | ↓ -100% |
| BCBS - TX | Commercial|Blue Advantage Exchange | $0.14 | ↓ -99% |
| BCBS - TX | Commercial|Premier | $0.17 | ↓ -99% |
| BCBS - TX | Commercial|HMO | $0.22 | ↓ -99% |
| BCBS - TX | Commercial|PPO Trad | $0.24 | ↓ -99% |
| Aetna | Commercial|KelseyCare | $12.06 | ↓ -53% |
| Aetna | Commercial|HMO | $14.25 | ↓ -44% |
| Aetna | Commercial|PPO | $14.25 | ↓ -44% |
| OPTUM | Medicare|All Plans | $14.80 | ↓ -42% |
| Aetna | Commercial|Transplant | $17.54 | ↓ -31% |
| Bright Health | Commercial|All Plans | $18.09 | ↓ -29% |
| OPTUM | Medicaid|STAR | $19.83 | ↓ -22% |
| TCHPCHIP | Medicaid|HMO | $22.47 | ↓ -12% |
| TCH | Commercial|Transplant | $24.66 | ↓ -3% |
| United | Commercial|Optum | $25.76 | ↑ +1% |
| Humana | Commercial|HMO | $26.85 | ↑ +6% |
| KelseyCare | Commercial|All Other Plans | $26.85 | ↑ +6% |
| Humana | Commercial|PPO | $26.85 | ↑ +6% |
| Shell | Commercial|All Plans | $27.40 | ↑ +8% |
| CHC | Medicaid|CHIP | $30.14 | ↑ +19% |
| CHC | Medicaid|HMO | $30.14 | ↑ +19% |
| TEXASTRUECHOICE | Medicaid|CHIP | $30.14 | ↑ +19% |
| Cigna Lifesource | Commercial|Transplant | $32.88 | ↑ +29% |
| Independent Med System | Commercial|All Plans | $32.88 | ↑ +29% |
| First Health | Commercial|All Plans | $35.62 | ↑ +40% |
| Coventry | Commercial|PPO | $35.62 | ↑ +40% |
| Humana | Commercial|Transplant | $35.62 | ↑ +40% |
| Interlink | Commercial|Transplant | $38.36 | ↑ +51% |
| Healthsmart | Commercial|PPO | $38.36 | ↑ +51% |
| PHCS Savility | Commercial|PPO | $38.36 | ↑ +51% |
| PHCS | Commercial|PPO | $38.36 | ↑ +51% |
| Cigna | Commercial|Transplant | $38.36 | ↑ +51% |
| Healthsmart | Commercial|AP3 | $39.45 | ↑ +55% |
| MultiPlan | Commercial|All Plans | $41.10 | ↑ +62% |
| OPTUM | Medicaid|STARPLUS | $45.27 | ↑ +78% |
| USA Health Network | Commercial|All Plans | $46.58 | ↑ +83% |
| MHealth Network | Commercial|PPO | $54.79 | ↑ +116% |
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 |
|---|---|---|---|
| St. Luke's Health - The Vintage Hospital | Houston | $25.40 | $0.07 – $54.79 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $0.04 – $0.29 |
| HCA HOUSTON WEST | HOUSTON | not published | $0.07 – $0.29 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $0.04 – $0.29 |
| Adventhealth Rollins Brook | Lampasas | $50.85 | $0.46 – $0.46 |
| St. Luke's Health - Patients Medical Center | Pasadena | $8.82 | $0.07 – $18.90 |
| 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 |