Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr cost in Minnesota
ACYCLOVIR 5 MG/ML IN NS IV SYRINGE (NEO/PED) - CNR · HCPCS J0133
$26.80
lowest in Minnesota
$62.17
state median
$91.96
highest in Minnesota
$64.45
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Sanford Wheaton | Wheaton | $26.80 | $8.11 – $30.15 | 15 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $37.62 | $16.12 – $42.25 | 15 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $37.62 | $16.12 – $42.25 | 15 |
| New Ulm Medical Center | MN 56073 | $42.97 | $0.04 – $37.52 | 8 |
| Sanford Bemidji Medical Center | Bemidji | $50.71 | $1.02 – $52.54 | 12 |
| Sanford Bagley Medical Center | Bagley | $51.17 | $15.48 – $57.56 | 15 |
| Sanford Luverne Medical Center | Luverne | $61.83 | $18.67 – $69.42 | 15 |
| Sanford Worthington Medical Center | Worthington | $62.16 | $1.00 – $69.37 | 11 |
| Sanford Tracy Hospital | Tracy | $62.17 | $18.81 – $69.94 | 16 |
| Sanford Canby Medical Center | Canby | $62.48 | $18.58 – $69.08 | 15 |
| Abbott Northwestern Hospital | MN 55407 | $78.82 | $0.04 – $0.05 | 2 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley | $78.82 | $0.04 – $0.05 | 2 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $78.82 | $0.04 – $0.06 | 3 |
| Allina Health Faribault Medical Center | Faribualt | $91.96 | $0.04 – $38.42 | 5 |
| Buffalo Hospital | Buffalo | $91.96 | $0.04 – $38.42 | 5 |
| Cambridge Medical Center | Cambridge | $91.96 | $0.04 – $38.42 | 5 |
| River Falls Area Hospital | River Falls | $91.96 | $0.04 – $24.23 | 7 |
| Owatonna Hospital | Owatonna | $91.96 | $0.04 – $38.42 | 5 |