Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr cost in Pennsylvania
ACYCLOVIR 5 MG/ML IN NS IV SYRINGE (NEO/PED) - CNR · HCPCS J0133
$4.20
lowest in Pennsylvania
$39.00
state median
$435.60
highest in Pennsylvania
$64.45
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UPMC Cole | Coudersport | $4.20 | $0.04 – $5.60 | 14 |
| Uniontown Hospital | Uniontown | $7.84 | $0.20 – $0.20 | 1 |
| UPMC Kane | Kane | $9.00 | $0.04 – $0.13 | 6 |
| WellSpan Chambersburg Hospital | Chambersburg | $9.60 | $0.04 – $14.00 | 6 |
| WellSpan Waynesboro Hospital | Waynesboro | $9.60 | $2.80 – $14.00 | 4 |
| UPMC Western Psychiatric | Pittsburgh | $20.25 | $0.04 – $1.38 | 2 |
| WellSpan Ephrata Community Hospital | Ephrata | $34.20 | $3.00 – $14.00 | 10 |
| WellSpan Gettysburg Hospital | Gettysburg | $36.00 | $3.00 – $14.00 | 9 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | $36.00 | $3.00 – $14.00 | 9 |
| WellSpan Good Samaritan Hospital | Lebanon | $39.00 | $0.04 – $14.00 | 10 |
| UPMC Muncy | Muncy | $74.40 | $0.04 – $0.04 | 5 |
| UPMC Wellsboro | Wellsboro | $74.40 | $0.04 – $0.04 | 5 |
| UPMC Williamsport | Williamsport | $74.40 | $0.04 – $0.04 | 5 |
| UPMC Bedford | Everett | $315.00 | $0.02 – $4.50 | 17 |
| UPMC Horizon-Greenville | Greenville | $370.80 | $0.02 – $3.55 | 6 |
| UPMC Mercy | Pittsburgh | $370.80 | $0.02 – $1.39 | 5 |
| UPMC Northwest | Seneca | $427.20 | $0.02 – $3.62 | 5 |
| UPMC Passavant-McCandless | Pittsburgh | $427.20 | $0.02 – $1.41 | 5 |
| UPMC Altoona | Altoona | $435.60 | $0.02 – $5.60 | 12 |