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
medina hospital Medina, OH not published $41.70 – $48.28
marymount hospital Garfield Heights, OH not published $40.19 – $46.54
lodi hospital Lodi, OH not published $69.50 – $80.48
hillcrest hospital Mayfield Heights, OH not published $44.55 – $51.58
lutheran hospital Cleveland, OH not published $40.71 – $47.14
fairview hospital Cleveland, OH not published $42.76 – $49.51
euclid hospital Euclid, OH not published $45.51 – $52.70
cleveland clinic childrens hospital for rehabilitation Cleveland, OH not published $72.53 – $83.99
avon hospital Avon, OH not published $44.43 – $45.27
Advocate Good Samaritan Hospital Downers Grove, IL not published not published
Advocate Condell Medical Center Libertyville, IL not published not published
Advocate Christ Medical Center Oak Lawn, IL not published not published
Southern Ocean Medical Center Manahawkin, NJ not published not published
Robert Wood Johnson University Hospital New Brunswick, NJ not published $6.57 – $6.57
Riverview Medical Center Red Bank, NJ not published not published
Jersey Shore University Medical Center Neptune City, NJ not published not published
JFK Johnson Rehabilitation Institute (JRI) Edison, NJ not published not published
Raritan Bay Medical Center Perth Amboy, NJ not published not published
UPMC St. Margaret Pittsburgh, PA not published $0.04 – $0.04
UPMC Northwest Seneca, PA not published $0.04 – $0.05
Ocean University Medical Center Brick, NJ not published not published
Hackensack University Medical Center Hackensack, NJ not published not published
Bayshore Medical Center Holmdel, NJ not published not published
Advocate Trinity Hospital Chicago, IL not published not published
Advocate South Suburban Hospital Hazel Crest, IL not published not published
Advocate Sherman Hospital Elgin, IL not published not published
Advocate Childrens Hospital - Park Ridge Park Ridge, IL not published not published
Advocate Illinois Masonic Medical Center Chicago, IL not published not published
Henry Ford Wyandotte Hospital: Wyandotte, MI not published $0.40 – $1.42
Henry Ford West Bloomfield Hospital West Bloomfield, MI not published $0.63 – $1.62
Henry Ford Hospital Detroit MI 48202 | 19401 Hubbard Dr., MI not published $0.63 – $1.72
UPMC Mercy Pittsburgh, PA not published $0.15 – $0.54

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