Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr cost in Nebraska
ACYCLOVIR 5 MG/ML IN NS IV SYRINGE (NEO/PED) - CNR · HCPCS J0133
$3.42
lowest in Nebraska
$41.79
state median
$84.58
highest in Nebraska
$63.48
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| CHI Health Nebraska Heart | Lincoln | $3.42 | $0.04 – $0.23 | 11 |
| CHI Health St. Elizabeth | Lincoln | $3.72 | $0.04 – $0.22 | 11 |
| CHI Health St. Francis | Grand Island | $4.39 | $0.04 – $0.26 | 12 |
| CHI Health Good Samaritan | Kearney | $4.54 | $0.04 – $0.26 | 12 |
| CHI Health St. Mary's | Nebraska City | $6.17 | $0.06 – $0.26 | 16 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $41.79 | $0.04 – $84.58 | 13 |
| Lasting Hope Recovery Center | Omaha | $41.79 | $0.05 – $84.58 | 12 |
| CHI Health Immanuel | Omaha | $41.79 | $0.04 – $84.58 | 13 |
| CHI Health Lakeside | Omaha | $41.79 | $0.04 – $84.58 | 13 |
| CHI Health Midlands | Papillion | $41.79 | $0.04 – $84.58 | 13 |
| CHI Health Plainview | Plainview | $83.58 | $60.70 – $134.75 | 19 |
| CHI Health Schuyler | Schuyler | $84.58 | $21.32 – $112.66 | 18 |