healthcosts.net

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
SSM Health St. Anthony Hospital - Midwest Midwest City, OK not published $0.05 – $0.10
Trinitas Regional Medical Center Elizabeth, NJ not published $0.05 – $0.31
Wellstar Windy Hill Hospital Marietta, GA not published $0.10 – $0.10
Stephens Memorial Hospital Norway, ME not published $0.04 – $0.10
MEDICAL CITY ARLINGTON HOSPITAL RED OAK, TX not published $0.02 – $0.41
Garrett Regional Medical Center Oakland, MD not published not published
MEDICAL CITY WEATHERFORD HOSPITAL Weatherford, TX not published $0.04 – $0.41
OVERLAND PARK REGIONAL MEDICAL CENTER SHAWNEE, KS not published $0.02 – $0.12
Sentara Northern Virginia Medical Center Woodbridge, VA not published $0.06 – $0.06
MEDICAL CITY MCKINNEY HOSPITAL McKinney, TX not published $0.04 – $0.41
Wellstar West Georgia Medical Center Lagrange, GA not published $0.10 – $0.10
Wellstar Sylvan Grove Hospital Jackson, GA not published $0.10 – $0.10
Wellstar Spalding Regional Hospital Griffin, GA not published $0.10 – $0.10
North Central Bronx Bronx, NY not published $0.02 – $0.07
Wellstar Paulding Hospital Hiram, GA not published $0.10 – $0.10
Wellstar North Fulton Hospital Roswell, GA not published $0.10 – $0.10
Corewell Health Wayne Wayne, MI not published $0.01 – $0.11
Corewell Health Troy Troy, MI not published $0.01 – $0.11
Corewell Health Trenton Trenton, MI not published $0.01 – $0.11
Corewell Health Taylor Taylor, MI not published $0.01 – $0.11
Corewell Health Gross Pointe Grosse Pointe, MI not published $0.01 – $0.11
Corewell Health Zeeland Zeeland, MI not published $0.03 – $0.03
Corewell Health Greenville Greenville, MI not published $0.03 – $0.03
Corewell Health Reed City Po Box 75, MI not published $0.03 – $0.03
Sentara Martha Jefferson Hospital Charlottesville, VA not published $0.13 – $0.13
Corewell Health Blodgett Hospital East Grand Rapids, MI not published $0.03 – $0.03
Aurora West Allis Medical Center West Allis, WI not published $0.03 – $0.12
Aurora Medical Center Washington County Hartford, WI not published $0.03 – $0.12
Aurora Medical Center Summit Summit, WI not published $0.03 – $0.12
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee, WI not published $0.03 – $0.12
Aurora Psychiatric Hospital Wauwatosa, WI not published $0.03 – $0.12
Aurora Medical Center Sheboygan County Sheboygan, WI not published $0.03 – $0.12
Aurora Medical Center Fond du Lac Fond Du Lac, WI not published $0.03 – $0.12
Aurora Medical Center Kenosha Kenosha, WI not published $0.03 – $0.12
Aurora Medical Center Manitowoc Two Rivers, WI not published $0.03 – $0.12
Aurora Medical Center Grafton Grafton, WI not published $0.03 – $0.12
Aurora Medical Center Burlington Burlington, WI not published $0.03 – $0.12
Aurora Medical Center Bay Area Marinette, WI not published $0.03 – $0.12
Aurora Baycare Medical Center Green Bay, WI not published $0.03 – $0.12
South Brooklyn Health Brooklyn, NY not published $0.02 – $0.07
Robert Wood Johnson University Hospital Rahway Rahway, NJ not published $0.04 – $0.06
Corewell Health Butterworth Hospital Grand Rapids, MI not published $0.03 – $0.03
Corewell Health Gerber Fremont, MI not published $0.03 – $0.03
Corewell Health Big Rapids Big Rapids, MI not published $0.03 – $0.03
SSM Health St. Mary's Hospital - Janesville Janesville, WI not published $0.06 – $0.09
SSM Health St. Clare Hospital - Baraboo Baraboo, WI not published $0.06 – $0.09
Wellstar MCG Health Augusta, GA not published $0.10 – $0.10
Wellstar Kennestone Hospital Marietta, GA not published $0.10 – $0.10
Wellstar Douglas Hospital Douglasville, GA not published $0.10 – $0.10
Wellstar Cobb Hospital Austell, GA not published $0.10 – $0.10

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