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
MercyOne Dyersville Medical Center Dyersville, IA $10.40 $0.90 – $4.73
MercyOne Oelwein Medical Center Oelwein, IA $10.40 $0.90 – $4.20
MercyOne Cedar Falls Medical Center Cedar Falls, IA $10.40 $0.90 – $4.20
MercyOne Des Moines Medical Center Des Moines, IA $10.40 $0.84 – $4.20
MercyOne Centerville Medical Center Centerville, IA $10.40 $0.90 – $4.20
MercyOne Newton Medical Center Newton, IA $10.40 $0.90 – $4.20
MercyOne North Iowa Medical Center Mason City, IA $10.40 $0.90 – $4.20
Uchicago Medicine Adventhealth Glenoaks Glendale Heights, IL $10.56 $0.08 – $0.08
Uchicago Medicine Adventhealth La Grange La Grange, IL $10.56 $0.08 – $0.08
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook, IL $10.56 $0.08 – $0.70
Ascension Seton Northwest (Ascension Seton) Austin, TX $10.80 $0.05 – $0.50
Ascension Seton Smithville (Ascension Seton) Smithville, TX $10.80 $0.05 – $0.05
Dell Seton Medical Center at The University of Texas (Ascension Seton) Austin, TX $10.80 $0.05 – $0.05
Ascension Seton Edgar B. Davis (Ascension Seton) Luling, TX $10.80 $0.05 – $0.05
Ascension Seton Highland Lakes (Ascension Seton) Burnet, TX $10.80 $0.05 – $0.05
Ascension Seton Medical Center Austin (Ascension Seton) Austin, TX $10.80 $0.05 – $0.50
Ascension St. John Medical Center (St. John Medical Center, Inc.) Tulsa, OK $11.99 $1.84 – $1.84
Ascension St. John Owasso (Owasso Medical Facility, Inc.) Owasso, OK $11.99 $1.54 – $1.54
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) Bartlesville, OK $11.99 $0.10 – $1.98
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) Nowata, OK $11.99 $0.10 – $0.10
Ascension St. John Sapulpa (St. John Sapulpa, Inc.) Sapulpa, OK $11.99 $1.45 – $1.45
MultiCare Mary Bridge Children's Hospital Tacoma, WA $12.16 not published
HCA FLORIDA LEHIGH HOSPITAL LEHIGH ACRES, FL $14.04 $0.02 – $0.04
Central Medical Center Seattle, WA $15.52 $0.03 – $0.03
HCA FLORIDA NORTHSIDE HOSPITAL ST PETERSBURG, FL $15.75 $0.02 – $0.02
ADVENTIST HEALTH DELANO Delano, CA $16.30 $0.05 – $105.11
Defiance Hospital Defiance, OH $17.04 not published
Trinity Medical Center East Steubenville, OH $18.85 $0.05 – $13.09
Lorain Hospital Lorain, OH $19.26 not published
Southeastern Medical Center Cambridge, OH $19.50 $0.09 – $0.33
UPMC Western Psychiatric Pittsburgh, PA $20.25 $0.04 – $1.38
MercyOne Waterloo Medical Center Waterloo, IA $20.70 $0.90 – $4.20
MercyOne Clinton Medical Center Clinton, IA $20.70 $0.90 – $4.20
MercyOne West Des Moines Medical Center West Des Moines, IA $20.70 $0.84 – $4.20
REEDLEY COMMUNITY HOSPITAL Reedley, CA $20.72 $0.05 – $141.79
Dell Children's Medical Center (Ascension Seton) Austin, TX $21.00 $0.05 – $0.05
Lourdes Hospital Paducah, KY $21.18 not published
CHI Memorial Hospital - Georgia Ringgold, GA $21.49 $0.07 – $44.81
CHI Memorial Hospital Hixson Hixson, TN $21.49 $0.07 – $38.73
Adventhealth Palm Coast Palm Coast, FL $21.85 not published
Adventhealth Palm Coast Parkway Palm Coast, FL $21.85 not published
82-3844150 BMH Crittenden West Memphis, AR $21.87 $0.02 – $0.04
St Joseph Warren Hospital Warren, OH $21.96 not published
St Elizabeth Boardman Hospital Youngstown, OH $23.22 not published
ST HELENA HOSPITAL Vallejo, CA $23.76 $0.10 – $158.41
CHI Saint Joseph Health - Saint Joseph London London, KY $23.87 $0.06 – $51.21
Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital Lake Forest, IL $24.32 not published
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling, KY $24.51 $0.06 – $51.21
St. Luke's Health - The Vintage Hospital Houston, TX $25.40 $0.07 – $54.79
Baylor St Luke's Medical Center Houston, TX $25.40 $0.09 – $54.79

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