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

317 E OVILLA RD, RED OAK, TX · Medicalcityhealthcare · · NPI 1134172406

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 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 Humana vs $23.66 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
TriWest Health Alliance TRCR $0.04
Cigna LocalPlus $0.18
Cigna NewBusiness $0.18
United AllPayerAppendix $0.20
United NarrowNetworkIndivExchange $0.20
United SmallGroup $0.20
Cigna HMO $0.20
Cigna OpenAccessPlus $0.20
Cigna NetworkBenefit $0.20
Humana COMM $0.21
Cigna AllOther $0.26
BCBS MyBlueHealth $0.41
BCBS BlueAdvantageHMO $0.41
BCBS BlueEssentialsAccess $0.61
BCBS BlueEssentials $0.61
BCBS EPOSOA $0.64
BCBS PPO $0.67
BCBS BluePremier $0.79
Superior Health Plan STARKids $1.66
Superior Health Plan CHIP $1.66
Superior Health Plan STARHealth $1.66
Superior Health Plan MCDSTAR $1.66
Superior Health Plan STARPLUS $1.66
Aetna QHPHIX $3.19
Cigna IFP $3.19
Cigna QHP $3.31
United OptionsPPO $4.45
Unicare CHIP $4.50
Aetna NewBusiness $4.71
Aetna Meritain $5.04
Aetna COMM $5.04
Aetna OON $5.94
Healthcare Highways CityofPlano $8.00
BCBS Traditional $10.51
City of McKinney COMM $10.65
Global Sports Services COMMPPO $11.83
National ChoiceCare WCOMP $11.83
Aetna ASA $12.47
PC Texas Partners WCOMP $13.01
Aetna WCOMP $13.01
Rockport Health Group WORKERSCOMP $13.01
Physicians Coop of TX MGMCR $13.01
Averde Health, Inc PPO $13.72
Coastal Comp Health Networks WCOMP $16.56
Mega Life MGMCRPPO $16.56
HealthSmart Preferred Care PPO $16.80
Aetna Coventry First Health COMM $17.20
LEWISVILLE ISD/DLS CONSULTING COMMPPO $17.75
USC Health Services COMM $18.93
USA Managed Care COMM $18.93
Galaxy Health Network PPO $20.11
TEXAS INSTRUMENTS EmployeesHealthBenefitPlan $21.29
National Healthcare Solutions COMM $23.66
Independent Medical Systems COMM $23.66
Unicare MCD $23.66

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
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 - CENTENNIAL Frisco $129.00 $0.02 – $61.62
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $129.00 $0.02 – $65.25
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $129.00 $0.02 – $65.25
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $129.00 $0.02 – $65.25

All Texas hospitals for this procedure →