healthcosts.net
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
$20.25
lowest in Pennsylvania
$74.40
state median
$427.20
highest in Pennsylvania
$74.40
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UPMC Western Psychiatric | Pittsburgh | $20.25 | $0.04 – $28.69 | 7 |
| UPMC Muncy | Muncy | $74.40 | $0.04 – $0.90 | 16 |
| UPMC Wellsboro | Wellsboro | $74.40 | $0.04 – $0.90 | 14 |
| UPMC Williamsport | Williamsport | $74.40 | $0.04 – $0.90 | 16 |
| UPMC Mercy | Pittsburgh | $370.80 | $0.02 – $3.60 | 18 |
| UPMC Northwest | Seneca | $427.20 | $0.02 – $4.25 | 13 |
| UPMC Passavant-McCandless | Pittsburgh | $427.20 | $0.02 – $5.10 | 14 |