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
Virginia Mason Medical Center Seattle, WA not published $0.08 – $0.08
Canton-Potsdam Hospital Potsdam, NY not published $0.14 – $0.14
Gouverneur Hospital Gouverneur, NY not published $0.04 – $0.14
Clifton Springs Hospital and Clinic Clifton Springs, NY not published $0.04 – $0.14
Newark Wayne Community Hospital Newark, NY not published $0.12 – $0.16
The Unity Hospital of Rochester Rochester, NY not published $0.12 – $0.14
Rochester General Hospital Rochester, NY not published $0.06 – $0.16
MEDICAL CITY GREEN OAKS HOSPITAL DALLAS, TX not published $0.02 – $0.02
Houston Methodist Cypress Hospital Cypress, TX not published $0.07 – $0.47
Houston Methodist Continuing Care Hospital Katy, TX not published $0.11 – $0.24
Houston Methodist The Woodlands Hospital The Woodlands, TX not published $0.07 – $0.47
Houston Methodist Clear Lake Hospital Nassau Bay, TX not published $0.07 – $0.47
Houston Methodist Willowbrook Hospital Houston, TX not published $0.07 – $0.47
Houston Methodist Baytown Hospital Baytown, TX not published $0.07 – $0.47
Houston Methodist West Hospital Houston, TX not published $0.07 – $0.47
Houston Methodist Sugar Land Hospital Sugar Land, TX not published $0.07 – $0.47
Houston Methodist Hospital Houston, TX not published $0.07 – $0.47
OSF Healthcare Saint Katharine Medical Center Dixon, IL not published $0.12 – $0.12
OSF Saint Francis Medical Center Peoria, IL not published $0.35 – $0.35
OSF Saint Anthony's Health Center Alton, IL not published $0.31 – $0.31
OSF Saint Anthony Medical Center Rockford, IL not published $0.35 – $0.35
MEDICAL CITY ARGYLE HOSPITAL Argyle, TX not published $0.02 – $0.41
CHRISTUS St. Michael Hospital - Atlanta Atlanta, TX not published $0.02 – $0.52
CHRISTUS St. Michael Rehabilitation Texarkana, TX not published $0.02 – $0.14
CHRISTUS Spohn Hospital - Kleberg Kingsville, TX not published $0.04 – $0.33
CHRISTUS Spohn Hospital - Beeville Beeville, TX not published $0.04 – $0.36
CHRISTUS Spohn Hospital - Alice Alice, TX not published $0.04 – $0.38
HENDERSONVILLE MEDICAL CENTER HENDERSONVILLE, TN not published $0.04 – $0.05
CHRISTUS Southeast Texas Jasper Memorial Jasper, TX not published $0.04 – $0.53
CHRISTUS Santa Rosa Hospital - San Marcos San Marcos, TX not published $0.04 – $0.46
CHRISTUS Trinity Mother Frances Hospital - Winnsboro Winnsboro, TX not published $0.04 – $0.21
CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs Sulphur Springs, TX not published $0.33 – $0.33
CHRISTUS Trinity Mother Frances Hospital - Jacksonville Jacksonville, TX not published $0.04 – $0.21
CHRISTUS Good Shepherd Medical Center - Marshall Marshall, TX not published $0.04 – $0.19
SSM Health Ripon Community Hospital Ripon, WI not published $0.04 – $0.13
SSM Health Monroe Hospital Monroe, WI not published $0.04 – $0.12
Monmouth Medical Center Southern Campus Lakewood, NJ not published $0.04 – $0.06
SSM Health St. Anthony Hospital - Shawnee Shawnee, OK not published $0.05 – $0.10
Monmouth Medical Center Long Branch, NJ not published $0.04 – $0.06
Jersey City Medical Center Jersey City, NJ not published $0.04 – $0.21
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis, MO not published $0.03 – $0.09
cleveland clinic main campus Cleveland, OH not published $0.03 – $11.17
SSM Health St. Mary's Hospital - St. Louis Richmond Heights, MO not published $0.03 – $0.09
Newark Beth Israel Medical Center Newark, NJ not published $0.04 – $0.06
SSM Health St. Joseph Hospital - St. Charles Saint Charles, MO not published $0.03 – $0.09
Clara Maass Medical Center Belleville, NJ not published $0.04 – $0.06
Community Medical Center Toms River, NJ not published $0.04 – $0.06
HCA FLORIDA NORTHWEST HOSPITAL MARGATE, FL not published $0.02 – $0.03
SSM Health St. Mary's Hospital - Madison Madison, WI not published $0.06 – $0.09
Advocate Good Samaritan Hospital Downers Grove, IL not published $0.06 – $2.35

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