Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr cost in Maine
ACYCLOVIR 5 MG/ML IN NS IV SYRINGE (NEO/PED) - CNR · HCPCS J0133
$62.73
lowest in Maine
$130.53
state median
$424.53
highest in Maine
$64.45
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Franklin Memorial Hospital | Farmington | $62.73 | $0.04 – $58.97 | 8 |
| Pen Bay Medical Center | Rockport | $130.53 | $0.04 – $122.70 | 6 |
| Lincoln Health | Damariscotta | $255.13 | $0.04 – $239.82 | 9 |
| Waldo County General Hospital | Belfast | $424.53 | $0.04 – $399.06 | 9 |
| Stephens Memorial Hospital | Norway | not published | $0.04 – $0.10 | 8 |
| Mid Coast Hospital | Brunswick | not published | $0.04 – $0.10 | 4 |
| Spring Harbor Hospital | Westbrook | not published | $0.04 – $0.12 | 4 |