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 - Oklahoma City Oklahoma City, OK not published $0.05 – $0.10
CHRISTUS Ochsner Lake Area Hospital Lake Charles, LA not published $0.04 – $0.20
CHRISTUS Louisiana Surgical Hospital Alexandria, LA not published $0.04 – $0.13
CHRISTUS Coushatta Health Care Center Coushatta, LA not published $0.04 – $0.04
SSM Health Cardinal Glennon Children's Hospital Saint Louis, MO not published $0.03 – $0.07
Providence Regional Medical Center Everett - Colby Campus Everett, WA not published $0.06 – $0.12
Jacobi Medical Center Bronx, NY not published $0.02 – $0.07
Elmhurst Hospital Center NY 11373, NY not published $0.02 – $0.07
Robert Wood Johnson University Hospital Somerset Somerville, NJ not published $0.04 – $0.17
Robert Wood Johnson University Hospital Hamilton Hamilton Township, NJ not published $0.04 – $0.06
Southern Ocean Medical Center Manahawkin, NJ not published $0.03 – $0.07
Grady Memorial Hospital Delaware, OH not published $0.09 – $0.33
SSM Health Waupun Memorial Hospital Waupun, WI not published $0.04 – $0.13
Robert Wood Johnson University Hospital New Brunswick, NJ not published $0.04 – $0.17
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac, WI not published $0.04 – $0.13
Riverview Medical Center Red Bank, NJ not published $0.03 – $0.07
Palisades Medical Center North Bergen, NJ not published $0.03 – $0.07
Jersey Shore University Medical Center Neptune City, NJ not published $0.03 – $0.07
JFK Johnson Rehabilitation Institute (JRI) Edison, NJ not published $0.03 – $0.12
Raritan Bay Medical Center Perth Amboy, NJ not published $0.03 – $0.07
Queens Hospital Center Jamaica, NY not published $0.02 – $0.07
Corewell Health Pennock Hastings, MI not published $0.03 – $0.03
Ocean University Medical Center Brick, NJ not published $0.03 – $0.12
Hackensack University Medical Center Hackensack, NJ not published $0.07 – $0.07
Bayshore Medical Center Holmdel, NJ not published $0.03 – $0.03
Woodhull Medical Center Brooklyn, NY not published $0.02 – $0.07
Mid Coast Hospital Brunswick, ME not published $0.04 – $0.10
Harlem Hospital Center New York, NY not published $0.02 – $0.07
Spring Harbor Hospital Westbrook, ME not published $0.04 – $0.12
Metropolitan Hospital Center New York, NY not published $0.02 – $0.07
Lincoln Medical Center Bronx, NY not published $0.02 – $0.07
Kings County Hospital Center Brooklyn, NY not published $0.02 – $0.07
Bellevue Hospital Center NY 10016, NY not published $0.02 – $0.07
Advocate South Suburban Hospital Hazel Crest, IL not published $0.06 – $2.36
Advocate Sherman Hospital Elgin, IL not published $0.06 – $1.11
Advocate Illinois Masonic Medical Center Chicago, IL not published $0.06 – $2.37
Cooperman Barnabas Medical Center Livingston, NJ not published $0.04 – $0.06
SSM Health St. Joseph Hospital- Wentzville Wentzville, MO not published $0.03 – $0.09
SSM Health Saint Louis University Hospital Saint Louis, MO not published $0.06 – $0.07
SSM Health DePaul Hospital - St. Louis Bridgeton, MO not published $0.03 – $0.09
Hardin Memorial Hospital Kenton, OH not published $0.09 – $0.33
SSM Health St. Clare Hospital - Fenton Fenton, MO not published $0.03 – $0.09
O'Bleness Hospital Athens, OH not published $0.09 – $0.33

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