Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr cost at US hospitals

ACYCLOVIR 5 MG/ML IN NS IV SYRINGE (NEO/PED) - CNR · HCPCS J0133

$3.29

lowest cash price

$64.45

national median

$567.00

highest cash price

575

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $3.29–$567.00 — the variation is the story.

Cheapest published cash price

$3.29

St. Joseph Health Burleson Hospital — Caldwell, TX

Most expensive published cash price

$567.00

HCA FLORIDA ORANGE PARK HOSPITAL — MIDDLEBURG, FL

Median cash price over time

Sep 1, 2025 ($166.90) → Sep 1, 2026 ($101.88)

By state

State Hospitals Lowest cash Median Highest
Alaska 5 $50.70 $50.70 $112.16
Arizona 6 $27.51 $37.64 $94.98
Arkansas 8 $21.87 $34.74 $231.00
California 86 $16.30 $76.86 $294.09
Colorado 13 $120.59 $134.59 $134.59
Florida 74 $3.59 $96.31 $567.00
Georgia 16 $21.49 $139.18 $147.00
Hawaii 1 $110.85 $110.85 $110.85
Illinois 25 $3.60 $81.37 $424.90
Indiana 26 $48.72 $64.45 $101.88
Iowa 21 $4.20 $10.40 $98.15
Kansas 6 $47.53 $104.86 $104.86
Kentucky 25 $21.18 $37.80 $70.80
Louisiana 4 $58.16 $58.16 $58.16
Maine 7 $62.73 $130.53 $424.53
Maryland 2 $6.00 $6.00 $6.00
Michigan 13 not published by hospital not published by hospital not published by hospital
Minnesota 18 $26.80 $62.17 $91.96
Mississippi 7 $29.16 $34.99 $116.64
Missouri 16 $34.01 $63.47 $153.00
Montana 2 $74.74 $74.74 $119.06
Nebraska 12 $3.42 $41.79 $84.58
Nevada 3 $44.28 $48.62 $49.04
New Hampshire 1 $166.90 $166.90 $166.90
New Jersey 21 not published by hospital not published by hospital not published by hospital
New Mexico 2 $139.46 $139.46 $143.03
New York 18 $370.80 $370.80 $370.80
North Carolina 14 $33.54 $55.08 $55.08
North Dakota 4 $28.09 $28.92 $242.49
Ohio 58 $3.59 $36.40 $304.92
Oklahoma 13 $11.99 $11.99 $102.37
Oregon 12 $45.89 $89.51 $144.47
Pennsylvania 19 $4.20 $39.00 $435.60
South Carolina 10 $174.51 $174.51 $195.30
South Dakota 6 $61.59 $62.48 $355.04
Tennessee 31 $5.67 $52.56 $452.65
Texas 114 $3.29 $88.20 $210.26
Virginia 24 $27.51 $131.24 $256.40
Washington 17 $12.16 $70.66 $193.99
West Virginia 12 $4.87 $7.88 $80.46
Wisconsin 21 $36.83 $36.83 $36.83

All hospitals

Hospital Location Cash price Negotiated range
AdventHealth Avista Louisville, CO $134.59 $0.03 – $0.07
AdventHealth Porter Denver, CO $134.59 $0.03 – $0.07
AdventHealth Castle Rock Castle Rock, CO $134.59 $0.03 – $0.07
Maryview Hospital Portsmouth, VA $134.82 not published
Harbour View Medical Center Suffolk, VA $134.82 not published
Adventhealth Murray Po Box 1406, GA $139.18 not published
Adventhealth Gordon Calhoun, GA $139.18 not published
Covenant Hospital Plainview Plainview, TX $139.46 $0.45 – $0.45
Covenant Hospital Levelland Levelland, TX $139.46 $0.45 – $0.45
Covenant Health Hobbs Hospital Hobbs, NM $139.46 not published
Covenant Specialty Hospital Lubbock, TX $139.46 not published
Adventhealth Redmond Rome, GA $139.48 $0.04 – $0.04
Glendale Memorial Hospital Health Center Glendale, CA $141.81 $0.04 – $20.80
Baptist Hospital MIAMI, FL $142.35 $0.69 – $3.60
Bethesda Hospital East BOYNTON BEACH, FL $142.35 $0.32 – $4.00
Doctors Hospital CORAL GABLES, FL $142.35 $0.70 – $3.60
Baptist Health Hospital Doral SOUTH MIAMI, FL $142.35 $0.70 – $3.60
Fishermens Community Hospital MARATHON, FL $142.35 $0.67 – $3.60
Homestead Hospital HOMESTEAD, FL $142.35 $0.68 – $3.60
Mariners Hospital TAVERNIER, FL $142.35 $0.69 – $3.60
West Kendall Baptist Hospital MIAMI, FL $142.35 $0.68 – $3.60
CHRISTUS St. Vincent Regional Medical Center Santa Fe, NM $143.03 not published
Northwestern Medicine Delnor Hospital Geneva, IL $143.32 not published
Providence Seaside Hospital Seaside, OR $144.47 not published
Richmond Community Hospital Richmond, VA $144.90 not published
Petaluma Valley Hospital Petaluma, CA $145.69 $0.07 – $0.17
Queen of The Valley Medical Center Napa, CA $145.69 $0.07 – $0.19
Providence St Joseph Hospital Eureka Eureka, CA $145.69 $0.06 – $0.22
Redwood Memorial Hospital Fortuna, CA $145.69 $0.06 – $0.22
St. Bernardine Medical Center San Bernardino, CA $146.19 $0.06 – $101.68
Emory Hospital Perry Perry, GA $147.00 not published
Emory Hospital Warner Robins Warner Robins, GA $147.00 not published
Adventhealth Dade City Dade City, FL $150.47 not published
Adventhealth Riverview Riverview, FL $150.97 not published
Adventhealth Wesley Chapel Wesley Chapel, FL $150.97 not published
LAFAYETTE REGIONAL HEALTH CENTER Lexington, MO $153.00 $0.03 – $0.12
OVIEDO MEDICAL CENTER Oviedo, FL $163.08 $0.02 – $0.06
MaineHealth - Memorial Hospital North Conway, NH $166.90 $0.04 – $156.89
Dominican Hospital Santa Cruz, CA $172.80 $0.03 – $153.68
St Francis Downtown Greenville, SC $174.51 not published
LEWISGALE HOSPITAL-PULASKI PULASKI, VA $178.00 $0.01 – $0.32
St. Mary Medical Center Long Beach, CA $178.45 $0.04 – $26.00
Arroyo Grande Hospital Santa Maria, CA $179.76 $0.06 – $27.00
St. Elizabeth Community Hospital Red Bluff, CA $181.63 $0.04 – $0.98
Adventhealth Lake Wales Lake Wales, FL $185.18 not published
Adventhealth Ocala Ocala, FL $186.77 not published
French Hospital San Luis Obispo, CA $188.16 $0.04 – $52.92
HCA FLORIDA SOUTH TAMPA HOSPITAL Tampa, FL $192.93 $0.02 – $0.04
Providence St Luke's Rehabilitation Medical Center Spokane, WA $193.99 $0.23 – $0.23
St Francis Eastside Greenville, SC $195.30 not published

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