Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr cost in Oklahoma
ACYCLOVIR 5 MG/ML IN NS IV SYRINGE (NEO/PED) - CNR · HCPCS J0133
$49.22
lowest in Oklahoma
$91.86
state median
$102.37
highest in Oklahoma
$63.47
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Mercy Hospital Kingfisher | Kingfisher | $49.22 | $5.00 – $5.00 | 4 |
| Mercy Hospital Logan County | Guthrie | $49.22 | $5.00 – $5.00 | 4 |
| Mercy Hospital Oklahoma City | Oklahoma City | $91.86 | $2.00 – $20.00 | 7 |
| Mercy Hospital Ardmore | Northwest Ardmore | $102.37 | $10.00 – $40.00 | 7 |
| Mercy Hospital Healdton | Healdton | $102.37 | $10.00 – $10.00 | 4 |