healthcosts.net

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.

Cheapest published cash price

$4.10

Sanford Chamberlain Medical Center — Chamberlain, SD

Most expensive published cash price

$762.47

Northwestern Medicine Central DuPage Hospital — IL 60190, IL

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
MercyOne Clinton Medical Center Clinton, IA $64.85 $0.19 – $1.00
MercyOne Des Moines Medical Center Des Moines, IA $64.85 $0.16 – $1.00
CHI Health Plainview Plainview, NE $67.54 $28.55 – $63.38
UPMC Western Maryland Cumberland, MD $67.80 $10.00 – $10.00
CHI Health Schuyler Schuyler, NE $68.34 $10.03 – $52.99
Banner Estrella Medical Center Phoenix, AZ $69.01 $0.06 – $9.46
MercyOne Waterloo Medical Center Waterloo, IA $80.45 $0.20 – $1.00
ADVENTIST HEALTH CLEARLAKE HOSPITAL Clearlake, CA $84.60 $1.14 – $1.14
HANFORD COMMUNITY HOSPITAL Selma, CA $87.75 $75.63 – $127.07
Northwestern Medicine Palos Hospital Palos Heights, IL $91.00 not published
MultiCare Valley Hospital Spokane Valley, WA $92.68 $4.41 – $4.41
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA $98.87 $85.62 – $232.89
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg, CA $124.08 $3.00 – $4.35
SIERRA VISTA HOSPITAL, INC. San Luis Obispo, CA $126.63 $1.84 – $2.39
Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital Lake Forest, IL $134.22 not published
ST HELENA HOSPITAL Vallejo, CA $142.93 $141.46 – $141.46
SONORA COMMUNITY HOSPITAL Sonora, CA $184.28 $2.12 – $38.00
Northwestern Medicine McHenry Hospital McHenry, IL $203.17 not published
Sanford Vermillion Hospital Vermillion, SD $212.11 $0.44 – $1.35
Sanford Medical Center Bismarck Bismarck, ND $217.63 $0.63 – $1.80
WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA $227.48 $174.83 – $1,226.45
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA $229.95 $3.00 – $75.60
Northwestern Medicine Marianjoy Rehabilitation Hospital Wheaton, IL $235.02 not published
Southeastern Medical Center Cambridge, OH $247.02 not published
PORTLAND ADVENTIST MEDICAL CENTER Portland, OR $274.34 $69.94 – $167.86
Northwestern Medicine Valley West Hospital Sandwich, IL $291.55 not published
Sanford Canton Inwood Medical Center Canton, SD $302.12 $0.51 – $1.35
TWIN CITIES COMMUNITY HOSPITAL Templeton, CA $307.51 $2.00 – $2.60
Sanford Aberdeen Medical Center Aberdeen, SD $317.63 $0.67 – $1.35
Sanford Luverne Medical Center Luverne, MN $355.80 $0.36 – $1.35
Boca Raton Regional Hospital BOCA RATON, FL $370.65 $15.89 – $52.78
St. Joseph’s Hospital and Medical Center Phoenix, AZ $393.46 $8.12 – $45.82
Sanford Hospital Webster Webster, SD $402.12 $0.47 – $1.35
Sanford Sheldon Medical Center Sheldon, IA $417.63 $0.43 – $1.35
St. Luke's Health - Brazosport Hospital Lake Jackson, TX $467.94 $14.27 – $61.84
MID-COLUMBIA MEDICAL CENTER The Dalles, OR $480.05 $1,060.11 – $3,188.62
Sanford Bagley Medical Center Bagley, MN $622.03 $1.46 – $5.44
St. Luke's Health - The Vintage Hospital Houston, TX $654.96 $411.69 – $1,871.31
St. Luke's Health - Lakeside Hospital The Woodlands, TX $654.96 $411.69 – $1,871.31
Baylor St Luke's Medical Center Houston, TX $654.96 $411.69 – $1,871.31
St. Luke's Health - Springwoods Village Hospital Spring, TX $654.96 $411.69 – $1,871.31
St. Luke's Health - Sugar Land Hospital Sugar Land, TX $654.96 $411.69 – $1,871.31
Northwestern Medicine Delnor Hospital Geneva, IL $715.05 not published
Sanford Bemidji Medical Center Bemidji, MN $742.65 $2.89 – $5.78
Sunnyside Medical Center CLACKAMAS, OR $745.79 not published
Westside Medical Center HILLSBORO, OR $745.79 not published
Northwestern Medicine Central DuPage Hospital IL 60190, IL $762.47 not published
Henry Ford Macomb Hospital Clinton Twp, MI not published $0.54 – $1.48
south pointe hospital Warrensville Heights, OH not published $47.42 – $54.91
mercy hospital Canton, OH not published $42.55 – $46.81

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