Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr cost in New Jersey
ACYCLOVIR 5 MG/ML IN NS IV SYRINGE (NEO/PED) - CNR · HCPCS J0133
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Monmouth Medical Center Southern Campus | Lakewood | not published | $0.04 – $0.06 | 5 |
| Monmouth Medical Center | Long Branch | not published | $0.04 – $0.06 | 5 |
| Jersey City Medical Center | Jersey City | not published | $0.04 – $0.21 | 6 |
| Newark Beth Israel Medical Center | Newark | not published | $0.04 – $0.06 | 5 |
| Clara Maass Medical Center | Belleville | not published | $0.04 – $0.06 | 5 |
| Community Medical Center | Toms River | not published | $0.04 – $0.06 | 5 |
| Trinitas Regional Medical Center | Elizabeth | not published | $0.05 – $0.31 | 6 |
| Robert Wood Johnson University Hospital Rahway | Rahway | not published | $0.04 – $0.06 | 4 |
| Robert Wood Johnson University Hospital Somerset | Somerville | not published | $0.04 – $0.17 | 6 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township | not published | $0.04 – $0.06 | 5 |
| Southern Ocean Medical Center | Manahawkin | not published | $0.03 – $0.07 | 2 |
| Robert Wood Johnson University Hospital | New Brunswick | not published | $0.04 – $0.17 | 6 |
| Riverview Medical Center | Red Bank | not published | $0.03 – $0.07 | 4 |
| Palisades Medical Center | North Bergen | not published | $0.03 – $0.07 | 2 |
| Jersey Shore University Medical Center | Neptune City | not published | $0.03 – $0.07 | 2 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | not published | $0.03 – $0.12 | 5 |
| Raritan Bay Medical Center | Perth Amboy | not published | $0.03 – $0.07 | 4 |
| Ocean University Medical Center | Brick | not published | $0.03 – $0.12 | 5 |
| Hackensack University Medical Center | Hackensack | not published | $0.07 – $0.07 | 1 |
| Bayshore Medical Center | Holmdel | not published | $0.03 – $0.03 | 1 |
| Cooperman Barnabas Medical Center | Livingston | not published | $0.04 – $0.06 | 5 |