Acyclovir 400 mg tablet at CHRISTUS Southeast Texas Jasper Memorial

1275 Marvin Hancock Dr, Jasper, TX · Christushealth · · NPI 1598749707

Source: hospital's published price file ↗ · Published Jan 13, 2026 · Ingested Sep 16, 2026

$5.28

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.

$16.00

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.

$2.24 with United Healthcare vs $13.60 with Verity Healthnet National — 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
United Healthcare Star Plus KM $2.24 ↓ -58%
United Healthcare Chip KM $2.24 ↓ -58%
United Healthcare Star KM $2.24 ↓ -58%
United Healthcare Star Kid KM $2.24 ↓ -58%
Christus Health Med Adv MM $2.40 ↓ -55%
Christus Health HIX $3.36 ↓ -36%
Aetna MM $3.84 ↓ -27%
Superior Foster Care KM $4.32 ↓ -18%
Community Health Choice Chip KM $4.32 ↓ -18%
Superior Star KM $4.32 ↓ -18%
Superior Chip KM $4.32 ↓ -18%
Superior Star Plus KM $4.32 ↓ -18%
Texas Childrens Health Plan Chip KM $4.48 ↓ -15%
Amerigroup Chip KM $4.48 ↓ -15%
Amerigroup Star Plus KM $4.48 ↓ -15%
Amerigroup Star KM $4.48 ↓ -15%
Amerigroup Star Kids KM $4.48 ↓ -15%
Texas Childrens Health Plan Star Kids KM $4.48 ↓ -15%
Texas Childrens Health Plan Star Plus KM $4.48 ↓ -15%
Community Health Choice Star KM $4.64 ↓ -12%
Molina Star Plus KM $4.80 ↓ -9%
Molina Chip KM $4.80 ↓ -9%
Molina Star KM $4.80 ↓ -9%
Cigna New Business $6.24 ↑ +18%
Imperial Health Plan MM $6.40 ↑ +21%
Amerigroup MM $6.40 ↑ +21%
Healthcare Highways PPO $7.20 ↑ +36%
Blue Cross Blue Shield Of Texas Blue Advantage HMO $7.36 ↑ +39%
LSU First Choice Verity PPO $8.00 ↑ +52%
Devoted Health Plan MM $8.00 ↑ +52%
ADV Cardiovas Specialist MM $8.00 ↑ +52%
Blue Cross Blue Shield Of Texas HMO $8.32 ↑ +58%
Blue Cross Blue Shield Of Texas HEB $8.32 ↑ +58%
Blue Cross Blue Shield Of Texas PPO $9.28 ↑ +76%
Cigna PPO $9.60 ↑ +82%
Verity HealthNet PPO $9.60 ↑ +82%
Naphcare Inc. RRMB $9.60 ↑ +82%
Blue Cross Blue Shield Of Texas Traditional $9.76 ↑ +85%
Aetna New Business $9.92 ↑ +88%
First Health PPO $10.40 ↑ +97%
Healthsmart Accel PPO $10.40 ↑ +97%
Aetna POS $11.04 ↑ +109%
Aetna HMO $11.04 ↑ +109%
Aetna EPO $11.04 ↑ +109%
Aetna PPO $11.04 ↑ +109%
Multiplan PPO $11.20 ↑ +112%
Five Point Credit Union PPO $11.20 ↑ +112%
Phcs PPO $11.20 ↑ +112%
Partners Direct Health PPO $11.20 ↑ +112%
MCT Credit Union All Plans $11.20 ↑ +112%
Health Management Network PPO $12.80 ↑ +142%
Provider Select PPO $12.80 ↑ +142%
HealthSmart PPO $12.80 ↑ +142%
Beech Street PPO $12.80 ↑ +142%
Triwest VA MM $13.60 ↑ +158%
Verity Healthnet National PPO $13.60 ↑ +158%

Visitor-reported prices

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Acyclovir 400 mg tablet at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $54.77 $1.46 – $7.32
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $54.77 $0.77 – $5.61
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $54.77 $0.75 – $4.67
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $54.77 $1.38 – $7.32
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $54.77 $1.20 – $5.61
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $54.77 $1.93 – $5.61
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $54.77 $1.25 – $5.61
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $54.77 $1.38 – $7.32

All Texas hospitals for this procedure →