Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at CHRISTUS Santa Rosa Emergency Center - Alon

11503 NW Military Hwy, San Antonio, TX · Christushealth · · NPI 1194787218

Source: hospital's published price file ↗ · Published Jan 12, 2026 · Ingested Sep 16, 2026

$68.26

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.

$206.85

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 United Healthcare vs $66.34 with National Choicecare — 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 All Payer $0.04 ↓ -100%
Aetna MM $0.05 ↓ -100%
Aetna New Business $0.09 ↓ -100%
Aetna HMO $0.10 ↓ -100%
Aetna POS $0.10 ↓ -100%
Aetna PPO $0.10 ↓ -100%
Aetna EPO $0.10 ↓ -100%
Humana Choicecare $0.13 ↓ -100%
Blue Cross Blue Shield of Texas Blue AdvantangeHMO $0.31 ↓ -100%
Blue Cross Blue Shield of Texas HEB $0.38 ↓ -99%
Blue Cross Blue Shield of Texas HMO $0.38 ↓ -99%
Blue Cross Blue Shield of Texas PPO $0.42 ↓ -99%
Blue Cross Blue Shield of Texas Traditional $0.45 ↓ -99%
First Care KM $7.68 ↓ -89%
El Paso First KM $7.68 ↓ -89%
Superior Star Kids KM $7.68 ↓ -89%
Blue Cross Blue Shield Of Texas Star Chip KM $7.68 ↓ -89%
Superior Star KM $7.68 ↓ -89%
Superior Chip KM $7.68 ↓ -89%
Superior Star Plus KM $7.68 ↓ -89%
Superior Foster Care KM $7.68 ↓ -89%
Driscoll Children's Health Plan Star Kids KM $7.68 ↓ -89%
Driscoll Children's Health Plan Star KM $7.68 ↓ -89%
Driscoll Children's Health Plan Chip KM $7.68 ↓ -89%
Aetna Chip KM $7.68 ↓ -89%
Aetna Star KM $7.68 ↓ -89%
Community First Star Kids KM $7.68 ↓ -89%
Community First Star KM $7.68 ↓ -89%
Community First Chip KM $7.68 ↓ -89%
Texas Childrens Health Plan Chip KM $8.38 ↓ -88%
Amerigroup Chip KM $8.38 ↓ -88%
Amerigroup Star Plus KM $8.38 ↓ -88%
Amerigroup Star KM $8.38 ↓ -88%
Amerigroup Star Kids KM $8.38 ↓ -88%
Texas Childrens Health Plan Star Plus KM $8.38 ↓ -88%
Community First Med Adv MM $8.38 ↓ -88%
Christus Health Med Adv MM $10.47 ↓ -85%
United Healthcare Chip KM $12.57 ↓ -82%
United Healthcare Star Plus KM $12.57 ↓ -82%
United Healthcare Star KM $12.57 ↓ -82%
Christus Health HIX $14.66 ↓ -79%
Molina Chip KM $20.95 ↓ -69%
Molina Star Plus KM $20.95 ↓ -69%
Cigna New Business $25.84 ↓ -62%
Amerigroup MM $27.93 ↓ -59%
Imperial Health Plan MM $27.93 ↓ -59%
Healthcare Highways PPO $31.42 ↓ -54%
Devoted Health Plan MM $34.92 ↓ -49%
Community First Health Plan HMO $35.61 ↓ -48%
Cigna PPO $38.41 ↓ -44%
Christian Brothers Services PPO $38.41 ↓ -44%
Naphcare Inc. RRMB $41.90 ↓ -39%
Multiplan PPO $41.90 ↓ -39%
Phcs PPO $41.90 ↓ -39%
First Health PPO $45.39 ↓ -34%
Healthsmart Accel PPO $45.39 ↓ -34%
Five Point Credit Union PPO $48.88 ↓ -28%
Medicus Internatiaonal PPO $52.38 ↓ -23%
Provider Select PPO $55.87 ↓ -18%
HealthSmart PPO $55.87 ↓ -18%
Beech Street PPO $55.87 ↓ -18%
Health Management Network PPO $55.87 ↓ -18%
Triwest VA MM $59.36 ↓ -13%
National Choicecare PPO $66.34 ↓ -3%

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 →