Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr cost in Indiana

ACYCLOVIR 5 MG/ML IN NS IV SYRINGE (NEO/PED) - CNR · HCPCS J0133

$48.72

lowest in Indiana

$48.72

state median

$64.45

highest in Indiana

$48.72

national median

Hospital City Cash price Negotiated range Payers
Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) Kokomo $48.72 $0.03 – $0.10 21
Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) Indianapolis $48.72 $0.03 – $0.10 20
Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) Salem $48.72 $0.03 – $0.10 21
Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) Vernon $48.72 $0.03 – $0.10 20
Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) Elwood $48.72 $0.03 – $0.10 20
Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) Boonville $48.72 $0.03 – $0.10 22
Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) Anderson $48.72 $0.03 – $0.10 21
Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) Carmel $48.72 $0.03 – $0.10 20
Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) Carmel $64.45 $0.03 – $0.10 21
Ascension St. Vincent Carmel Ambulatory Surgery Center Carmel $64.45 $0.03 – $0.10 22
Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) Winchester $64.45 $0.03 – $0.10 20
Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) Fishers $64.45 $0.03 – $0.10 21
Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) Brazil $64.45 $0.03 – $0.10 21
Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) Williamsport $64.45 $0.03 – $0.10 20
Ascension St. Vincent Naab Surgery Center Indianapolis $64.45 $0.03 – $0.10 22