Acyclovir 400 mg tablet cost at US hospitals

ACYCLOVIR 400 MG TABLET · HCPCS J8499

$4.10

lowest cash price

$54.77

national median

$762.47

highest cash price

147

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $4.10–$762.47 — the variation is the story.

Median cash price over time

Jan 1, 2026 ($21.50) → Sep 1, 2026 ($13.20)

By state

State Hospitals Lowest cash Median Highest
Arizona 13 $5.38 $14.04 $393.46
California 19 $12.75 $84.60 $307.51
Colorado 1 $45.06 $45.06 $45.06
Florida 3 $7.15 $19.50 $370.65
Georgia 10 $28.09 $28.09 $31.50
Hawaii 1 $23.70 $23.70 $23.70
Illinois 15 $91.00 $235.02 $762.47
Iowa 9 $33.77 $64.85 $417.63
Maryland 1 $67.80 $67.80 $67.80
Michigan 4 not published by hospital not published by hospital not published by hospital
Minnesota 9 $5.15 $8.06 $742.65
Nebraska 7 $33.77 $33.77 $68.34
New Jersey 9 not published by hospital not published by hospital not published by hospital
New York 4 $10.14 $10.14 $13.20
North Dakota 4 $17.19 $32.95 $217.63
Ohio 14 $24.54 $63.02 $247.02
Oregon 5 $38.86 $480.05 $745.79
Pennsylvania 6 $13.20 $13.20 $13.80
South Dakota 7 $4.10 $212.11 $402.12
Texas 36 $4.24 $54.77 $654.96
Virginia 1 $63.97 $63.97 $63.97
Washington 3 $24.20 $33.60 $92.68
Wyoming 1 $7.48 $7.48 $7.48

All hospitals

Hospital Location Cash price Negotiated range
Sanford Chamberlain Medical Center Chamberlain, SD $4.10 $0.51 – $1.35
CHRISTUS Spohn Hospital - Beeville Beeville, TX $4.24 not published
Sanford Tracy Hospital Tracy, MN $5.15 $0.36 – $1.35
Sanford Worthington Medical Center Worthington, MN $5.20 $0.58 – $1.35
CHRISTUS Southeast Texas Jasper Memorial Jasper, TX $5.28 not published
Banner Boswell Medical Center Sun City, AZ $5.38 $0.72 – $7.22
Sanford Westbrook Hospital Westbrook, MN $5.62 $0.36 – $1.35
Banner Goldfield Medical Center Apache Junction, AZ $6.16 $0.81 – $5.97
Sanford Canby Medical Center Canby, MN $6.97 $0.36 – $1.35
cleveland clinic florida weston hospital Weston, FL $7.15 $1.00 – $2.00
Banner Wyoming Medical Center Casper, WY $7.48 $1.27 – $4.56
Sanford Thief River Falls Medical Center Thief River Falls, MN $8.06 $2.06 – $5.40
Sanford Behavioral Health Thief River Falls Thief River Falls, MN $8.06 $2.06 – $5.40
Yavapai Regional Medical Center (East) Prescott, AZ $8.91 $1.26 – $8.55
Banner Desert Medical Center Mesa, AZ $10.13 $0.00 – $9.46
NewYork-Presbyterian Hudson Valley Hospital Cortlandt Manor, NY $10.14 $6.20 – $74.14
NewYork-Presbyterian Queens Flushing, NY $10.14 $6.20 – $53.00
NewYork-Presbyterian Columbia University Irving Medical Center New York, NY $10.14 $6.21 – $67.99
Sanford USD Medical Center Sioux Falls, SD $10.74 $0.27 – $0.91
St. Joseph Health Burleson Hospital Caldwell, TX $11.13 $0.33 – $1.49
St. Joseph Health Grimes Hospital Navasota, TX $11.13 $0.55 – $1.66
St. Joseph Health Madison Hospital Madisonville, TX $11.13 $0.19 – $1.49
St. Joseph Health College Station Hospital College Station, TX $11.13 $0.74 – $1.49
Banner University Medical Center Phoenix Phoenix, AZ $11.38 $0.01 – $3.68
ADVENTIST HEALTH TULARE Tulare, CA $12.75 $67.11 – $87.91
Banner Behavioral Health Hospital Scottsdale, AZ $12.95 $0.82 – $2.93
UPMC Chautauqua Jamestown, NY $13.20 $5.50 – $19.80
UPMC Williamsport Williamsport, PA $13.20 $19.20 – $19.20
UPMC Altoona Altoona, PA $13.20 $7.70 – $17.60
UPMC Bedford Everett, PA $13.80 $5.75 – $20.70
Banner Ocotillo Medical Center Chandler, AZ $14.04 $0.00 – $9.46
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA $14.56 $1.06 – $74.00
ADVENTIST HEALTH DELANO Delano, CA $15.17 $64.49 – $97.87
Banner Baywood Medical Center Mesa, AZ $16.36 $0.62 – $9.46
Sanford Clear Lake Medical Center Clear Lake, SD $16.40 $0.77 – $1.35
Sanford Medical Center Hillsboro Hillsboro, ND $17.19 $0.73 – $2.70
Banner Del Webb Medical Center Sun City West, AZ $17.59 $0.63 – $3.68
martin north hospital Stuart, FL $19.50 $19.50 – $30.00
CHRISTUS Health - West Beaumont Beaumont, TX $21.50 not published
Banner Thunderbird Medical Center Glendale, AZ $23.29 $0.01 – $72.99
CASTLE MEDICAL CENTER Kailua, HI $23.70 $15.00 – $26.25
Providence Regional Medical Center Everett - Colby Campus Everett, WA $24.20 not published
Banner Casa Grande Medical Center Casa Grande, AZ $24.54 $0.01 – $5.54
St Anne Hospital Toledo, OH $24.54 not published
Emory Decatur Hospital Decatur, GA $28.09 not published
Emory Hillandale Hospital Lithonia, GA $28.09 not published
Emory Long-Term Acute Care Hospital Decatur, GA $28.09 not published
Emory Johns Creek Hospital Johns Creek, GA $28.09 not published
Emory Rehabilitation Hospital Atlanta, GA $28.09 not published
Emory Saint Joseph's Hospital Atlanta, GA $28.09 not published

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