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
St. Luke's Health - Sugar Land Hospital Sugar Land, TX $25.40 $0.07 – $54.79
St. Luke's Health - Springwoods Village Hospital Spring, TX $25.40 $0.07 – $54.79
St. Luke's Health - Lakeside Hospital The Woodlands, TX $25.40 $0.07 – $54.79
Hancock County Hospital SNEEDVILLE, TN $25.88 $0.02 – $0.07
Sanford Wheaton Wheaton, MN $26.80 $8.11 – $30.15
CHI Saint Joseph Health - Saint Joseph East Lexington, KY $26.86 $0.06 – $51.21
Hawkins County Memorial Hospital ROGERSVILLE, TN $27.51 $0.02 – $0.07
Johnston Memorial Hospital ABINGDON, VA $27.51 $0.02 – $0.07
St. Joseph’s Hospital and Medical Center Phoenix, AZ $27.51 $0.05 – $20.54
Mansfield Hospital Mansfield, OH $27.66 $0.05 – $0.33
Berger Hospital Circleville, OH $27.66 $0.09 – $0.33
Sanford Medical Center Hillsboro Hillsboro, ND $28.09 $8.50 – $31.60
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown, KY $28.38 $0.06 – $51.21
Sanford Medical Center Mayville Mayville, ND $28.92 $4.46 – $16.59
62-1138045 BMH Union City Union City, TN $29.16 $0.03 – $0.08
64-0682111 BMH DeSoto Southaven, MS $29.16 $0.03 – $0.04
Van Wert Hospital Van Wert, OH $30.22 $0.05 – $0.33
62-0123940 BMH Collierville Collierville, TN $30.62 $0.03 – $0.04
64-0881013 MBMC Jackson Jackson, MS $30.62 $0.03 – $0.03
CHI Memorial Hospital Chattanooga Chattanooga, TN $30.71 $0.07 – $38.73
CHI Saint Joseph Health - Saint Joseph Berea Berea, KY $32.24 $15.53 – $51.21
Camden Clark Medical Center Parkersburg, WV $32.35 $0.20 – $0.20
SONORA COMMUNITY HOSPITAL Sonora, CA $32.78 $0.26 – $287.08
62-1166050 BMH Carroll County Huntingdon, TN $33.53 $0.03 – $0.08
64-0772726 BMH North Mississippi Oxford, MS $33.53 $0.03 – $0.03
AdventHealth Polk Columbus, NC $33.54 not published
Providence Cedars-Sinai Tarzana Medical Center Tarzana, CA $33.57 $0.07 – $0.48
CHI Saint Joseph Health - Saint Joseph Hospital Lexington, KY $33.68 $0.06 – $51.21
Mercy Orthopedic Hospital Springfield Ozark, MO $34.01 $2.00 – $17.00
Mercy Hospital Berryville Berryville, AR $34.01 $2.00 – $12.00
Providence Little Co of Mary Med Center San Pedro San Pedro, CA $34.08 $0.07 – $0.59
Providence Little Company of Mary Med Center Torrance Torrance, CA $34.08 $0.07 – $0.57
WellSpan Ephrata Community Hospital Ephrata, PA $34.20 $3.00 – $14.00
Adventhealth Fish Memorial Orange City, FL $34.46 not published
Mercy Hospital Paris Academy Paris, AR $34.74 $2.00 – $12.00
Mercy Orthopedic Hospital Fort Smith Fort Smith, AR $34.74 $2.00 – $44.00
Mercy Hospital Boonville Booneville, AR $34.74 $2.00 – $12.00
Adventhealth Hendersonville Hendersonville, NC $34.91 not published
64-0663760 BMH Booneville Booneville, MS $34.99 $0.03 – $0.03
Arizona General Hospital Laveen Phoenix, AZ $35.04 $0.05 – $125.01
Sanford Medical Center Bismarck Bismarck, ND $35.32 $10.18 – $28.88
St. Luke's Health - Brazosport Hospital Lake Jackson, TX $35.65 $0.03 – $66.21
Adventhealth Daytona Beach Daytona Beach, FL $35.87 not published
SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES Simi Valley, CA $36.00 $0.33 – $169.92
WellSpan Gettysburg Hospital Gettysburg, PA $36.00 $3.00 – $14.00
WellSpan Surgery & Rehabilitation Hospital York PA 17403, PA $36.00 $3.00 – $14.00
Swedish Medical Center Cherry Hill Seattle, WA $36.04 $0.06 – $0.06
Swedish Medical Center - First Hill Campus Seattle, WA $36.04 $0.06 – $0.06
Swedish Issaquah Issaquah, WA $36.04 $0.06 – $0.06
Swedish Edmonds Hospital Edmonds, WA $36.04 $0.06 – $0.06

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