Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr cost in Wisconsin
ACYCLOVIR 5 MG/ML IN NS IV SYRINGE (NEO/PED) - CNR · HCPCS J0133
$36.83
lowest in Wisconsin
$36.83
state median
$36.83
highest in Wisconsin
$64.45
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Adventhealth Durand | Durand | $36.83 | not published | 0 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $0.04 – $0.13 | 5 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $0.06 – $0.09 | 3 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $0.06 – $0.09 | 3 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $0.06 – $0.09 | 3 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $0.04 – $0.13 | 5 |
| SSM Health Ripon Community Hospital | Ripon | not published | $0.04 – $0.13 | 5 |
| SSM Health Monroe Hospital | Monroe | not published | $0.04 – $0.12 | 6 |