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
Emory University Hospital Ne, GA $28.09 not published
Emory University Hospital Midtown Atlanta, GA $28.09 not published
Emory Hospital Perry Perry, GA $31.50 not published
Emory Hospital Warner Robins Warner Robins, GA $31.50 not published
Sanford Fargo Medical Center Fargo, ND $32.95 $0.42 – $1.35
MultiCare Covington Medical Center Covington, WA $33.60 $3.86 – $4.41
CHI Health Mercy Council Bluffs Council Bluffs, IA $33.77 $7.02 – $39.78
CHI Health Creighton University Medical Center - Bergan Mercy Omaha, NE $33.77 $7.96 – $39.78
Lasting Hope Recovery Center Omaha, NE $33.77 $7.96 – $39.78
CHI Health Immanuel Omaha, NE $33.77 $6.56 – $39.78
CHI Health Lakeside Omaha, NE $33.77 $7.49 – $39.78
CHI Health Midlands Papillion, NE $33.77 $8.43 – $39.78
Mercy Medical Center Redding Redding, CA $33.97 $50.92 – $65.66
RIDEOUT MEMORIAL HOSPITAL Marysville, CA $36.09 $164.05 – $203.42
UKIAH ADVENTIST HOSPITAL Ukiah, CA $37.60 $1.03 – $38.00
CHI Health Mercy Corning Corning, IA $38.60 $20.13 – $45.87
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR $38.86 $71.97 – $71.97
CHI Health Missouri Valley Missouri Valley, IA $39.40 $16.38 – $45.87
Sanford Medical Center Mayville Mayville, ND $41.63 $1.03 – $3.83
East Morgan County Hospital Brush, CO $45.06 $5.73 – $13.19
SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES Simi Valley, CA $51.36 $109.17 – $109.17
BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING Irving, TX $54.77 $0.95 – $7.32
BAYLOR UNIVERSITY MEDICAL CENTER Dallas, TX $54.77 $1.46 – $7.32
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham, TX $54.77 $0.77 – $5.61
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110, TX $54.77 $0.75 – $4.67
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco, TX $54.77 $1.38 – $7.32
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station, TX $54.77 $1.20 – $5.61
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple, TX $54.77 $1.93 – $5.61
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth, TX $54.77 $1.38 – $7.32
BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE Grapevine, TX $54.77 $1.29 – $7.32
BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST Waco, TX $54.77 $0.75 – $5.30
BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE Rowlett, TX $54.77 $0.95 – $7.32
BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY McKinney, TX $54.77 $1.46 – $7.32
BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY Frisco, TX $54.77 $2.41 – $7.32
BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE Suite 100, TX $54.77 $0.69 – $5.61
BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO Plano, TX $54.77 $1.03 – $7.32
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park, TX $54.77 $1.25 – $5.61
BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR Taylor, TX $54.77 $1.18 – $4.98
BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER Temple, TX $54.77 $0.93 – $5.61
BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON Denton, TX $54.77 $0.95 – $7.32
BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY McKinney, TX $54.77 $1.11 – $7.32
BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE Waxahachie, TX $54.77 $1.29 – $7.32
BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE Waxahachie, TX $54.77 $0.69 – $7.32
WILLITS HOSPITAL INC Willits, CA $56.40 $3.00 – $38.00
REEDLEY COMMUNITY HOSPITAL Reedley, CA $60.80 $1.11 – $74.00
Methodist Southlake Medical Center Souhtlake, TX $62.12 not published
cleveland clinic main campus Cleveland, OH $63.02 $1.10 – $60.42
St Mary's Hospital Richmond, VA $63.97 not published
MercyOne Dubuque Medical Center Dubuque, IA $64.85 $0.19 – $1.00
MercyOne Dyersville Medical Center Dyersville, IA $64.85 $0.38 – $1.13

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