Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr cost at US hospitals
ACYCLOVIR 5 MG/ML IN NS IV SYRINGE (NEO/PED) - CNR · HCPCS J0133
$6.00
lowest cash price
$77.65
national median
$427.20
highest cash price
15
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $6.00–$427.20 — the variation is the story.
Median cash price over time
Mar 1, 2026 ($74.40) → Jul 1, 2026 ($77.65)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Maryland | 1 | $6.00 | $6.00 | $6.00 |
| New Jersey | 1 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 7 | $77.65 | $77.65 | $77.65 |
| Pennsylvania | 7 | $20.25 | $74.40 | $427.20 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Western Maryland | Cumberland, MD | $6.00 | $10.00 – $10.00 |
| UPMC Western Psychiatric | Pittsburgh, PA | $20.25 | $0.04 – $28.69 |
| UPMC Muncy | Muncy, PA | $74.40 | $0.04 – $0.90 |
| UPMC Wellsboro | Wellsboro, PA | $74.40 | $0.04 – $0.90 |
| UPMC Williamsport | Williamsport, PA | $74.40 | $0.04 – $0.90 |
| University Hospitals Geneva Medical Center | Geneva, OH | $77.65 | $0.06 – $7.68 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $77.65 | $0.03 – $7.68 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $77.65 | $0.05 – $0.54 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $77.65 | not published |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $77.65 | $0.04 – $0.04 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $77.65 | $0.05 – $0.05 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $77.65 | $0.08 – $0.08 |
| UPMC Mercy | Pittsburgh, PA | $370.80 | $0.02 – $3.60 |
| UPMC Northwest | Seneca, PA | $427.20 | $0.02 – $4.25 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $427.20 | $0.02 – $5.10 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | not published | $0.03 – $0.12 |
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