Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr cost in Texas
ACYCLOVIR 5 MG/ML IN NS IV SYRINGE (NEO/PED) - CNR · HCPCS J0133
$3.29
lowest in Texas
$25.40
state median
$120.90
highest in Texas
$50.70
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $3.29 | $0.03 – $2.72 | 21 |
| St. Joseph Health Burleson Hospital | Caldwell | $3.29 | $0.03 – $2.72 | 19 |
| St. Joseph Health College Station Hospital | College Station | $3.29 | $0.03 – $2.57 | 8 |
| St. Joseph Health Grimes Hospital | Navasota | $3.29 | $0.03 – $3.36 | 18 |
| St. Luke's Health - Patients Medical Center | Pasadena | $8.82 | $0.07 – $18.90 | 9 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $10.80 | $0.05 – $0.05 | 1 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $10.80 | $0.05 – $0.05 | 1 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $10.80 | $0.05 – $0.50 | 4 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $10.80 | $0.05 – $0.50 | 4 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $10.80 | $0.05 – $0.05 | 1 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $10.80 | $0.05 – $0.05 | 1 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $21.00 | $0.05 – $0.05 | 1 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $25.40 | $0.07 – $54.79 | 24 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $25.40 | $0.07 – $54.79 | 23 |
| St. Luke's Health - The Vintage Hospital | Houston | $25.40 | $0.07 – $54.79 | 23 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $25.40 | $0.07 – $54.79 | 23 |
| Baylor St Luke's Medical Center | Houston | $25.40 | $0.09 – $54.79 | 24 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $35.65 | $0.03 – $66.21 | 7 |
| Texas Health Hospital Mansfield | Mansfield | $46.88 | $0.16 – $0.16 | 1 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | $46.88 | $0.16 – $0.16 | 1 |
| Adventhealth Central Texas | Killeen | $50.85 | $0.46 – $0.46 | 1 |
| Adventhealth Rollins Brook | Lampasas | $50.85 | $0.46 – $0.46 | 1 |
| St. Luke's Health Memorial Livingston | Livingston | $120.90 | $0.03 – $370.18 | 10 |
| St. Luke's Health Memorial Lufkin | Lufkin | $120.90 | $0.03 – $370.18 | 10 |
| St. Luke's Health Memorial San Augustine | San Augustine | $120.90 | $0.03 – $285.96 | 10 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $0.04 – $0.29 | 6 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $0.04 – $0.29 | 5 |
| HCA HOUSTON WEST | HOUSTON | not published | $0.07 – $0.29 | 6 |
| HCA HOUSTON PEARLAND | Pearland | not published | $0.04 – $0.29 | 6 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $0.04 – $0.29 | 6 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $0.07 – $0.29 | 6 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $0.04 – $0.29 | 6 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $0.04 – $0.29 | 6 |
| HCA HOUSTON CONROE | CONROE | not published | $0.07 – $0.29 | 5 |