Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$35.65
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.
$101.85
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.
$0.03 with Cigna vs $158.89 with CHC — 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $0.03 | ↓ -100% |
| BCBS-TX | Commercial|Blue Options | $0.10 | ↓ -100% |
| BCBS-TX | Commercial|Traditional | $0.11 | ↓ -100% |
| BCBS-TX | Commercial|PPO-POS | $0.27 | ↓ -99% |
| BCBS-TX | Commercial|HMO | $0.28 | ↓ -99% |
| BCBS-TX | Commercial|PPO | $0.32 | ↓ -99% |
| BCBS-TX | Commercial|Blue Advantage HMO | $0.40 | ↓ -99% |
| Aetna | Medicare|All Plans | $15.28 | ↓ -57% |
| Bright Health | Commercial|All Plans | $33.62 | ↓ -6% |
| Entrust | Commercial|All Plans | $40.74 | ↑ +14% |
| Health First | Commercial|All Plans | $50.93 | ↑ +43% |
| CHC | Medicaid|CHIP | $66.21 | ↑ +86% |
| CHC | Medicaid|All Other Plans | $66.21 | ↑ +86% |
| Aetna | Commercial|All Other Plans | $68.24 | ↑ +91% |
| CHC | Medicaid|STAR | $158.89 | ↑ +346% |
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 |
|---|---|---|---|
| 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 - Springwoods Village Hospital | Spring | $25.40 | $0.07 – $54.79 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $25.40 | $0.07 – $54.79 |
| St. Joseph Health College Station Hospital | College Station | $3.29 | $0.03 – $2.57 |