Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr cost in Iowa
ACYCLOVIR 5 MG/ML IN NS IV SYRINGE (NEO/PED) - CNR · HCPCS J0133
$4.20
lowest in Iowa
$10.40
state median
$98.15
highest in Iowa
$63.48
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| MercyOne New Hampton Medical Center | New Hampton | $4.20 | $0.90 – $4.20 | 114 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $5.08 | $0.03 – $0.22 | 10 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $7.29 | $0.01 – $0.04 | 8 |
| MercyOne Dubuque Medical Center | Dubuque | $10.40 | $0.90 – $4.20 | 103 |
| MercyOne Dyersville Medical Center | Dyersville | $10.40 | $0.90 – $4.73 | 111 |
| MercyOne Oelwein Medical Center | Oelwein | $10.40 | $0.90 – $4.20 | 115 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $10.40 | $0.90 – $4.20 | 82 |
| MercyOne Des Moines Medical Center | Des Moines | $10.40 | $0.84 – $4.20 | 94 |
| MercyOne Centerville Medical Center | Centerville | $10.40 | $0.90 – $4.20 | 108 |
| MercyOne Newton Medical Center | Newton | $10.40 | $0.90 – $4.20 | 95 |
| MercyOne North Iowa Medical Center | Mason City | $10.40 | $0.90 – $4.20 | 101 |
| MercyOne Waterloo Medical Center | Waterloo | $20.70 | $0.90 – $4.20 | 82 |
| MercyOne Clinton Medical Center | Clinton | $20.70 | $0.90 – $4.20 | 103 |
| MercyOne West Des Moines Medical Center | West Des Moines | $20.70 | $0.84 – $4.20 | 94 |
| CHI Health Mercy Council Bluffs | Council Bluffs | $41.79 | $0.04 – $84.58 | 14 |
| CHI Health Mercy Corning | Corning | $47.76 | $0.06 – $97.51 | 19 |
| CHI Health Missouri Valley | Missouri Valley | $48.76 | $0.06 – $97.51 | 20 |
| Sanford Sheldon Medical Center | Sheldon | $63.05 | $21.97 – $69.38 | 15 |
| MercyOne Genesis Davenport Medical Center | Davenport | $98.15 | not published | 0 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $98.15 | $35.65 – $76.54 | 3 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $98.15 | not published | 0 |