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
Morrow County Hospital Mount Gilead, OH $36.40 $11.85 – $19.55
ADVENTIST HEALTH CLEARLAKE HOSPITAL Clearlake, CA $36.44 $0.28 – $101.21
62-1519754 BMH Golden Triangle Columbus, MS $36.45 $0.03 – $0.03
Mercy Hospital Lincoln Troy, MO $36.56 $16.00 – $16.00
Uchicago Medicine Adventhealth Hinsdale Hinsdale, IL $36.79 $0.08 – $0.08
Adventhealth Durand Durand, WI $36.83 not published
RIDEOUT MEMORIAL HOSPITAL Marysville, CA $37.27 $0.04 – $142.10
AdventHealth Deland Deland, FL $37.31 not published
Sanford Thief River Falls Medical Center Thief River Falls, MN $37.62 $16.12 – $42.25
Sanford Behavioral Health Thief River Falls Thief River Falls, MN $37.62 $16.12 – $42.25
Mercy Gilbert Medical Center Gilbert, AZ $37.64 $0.05 – $0.77
Arizona General Hospital Mesa Mesa, AZ $37.80 $0.05 – $125.01
Summers County ARH Hospital Hinton, WV $37.80 $0.02 – $0.02
Whitesburg ARH Hospital Whitesburg, KY $37.80 $0.04 – $0.04
Middlesboro ARH Hospital Middlesboro, KY $37.80 $0.04 – $0.04
Morgan County ARH Hospital Liberty, KY $37.80 $0.04 – $0.04
Mary Breckinridge ARH Hospital Hayden, KY $37.80 $0.04 – $0.04
ARH Our Lady of the Way Hospital Martin, KY $37.80 $0.04 – $0.04
Hazard ARH Regional Medical Center Hazard, KY $37.80 $0.04 – $0.04
Paintsville ARH Hospital Paintsville, KY $37.80 $0.14 – $0.14
HCA FLORIDA SOUTH SHORE HOSPITAL PARRISH, FL $38.50 $0.02 – $0.02
WILLITS HOSPITAL INC Willits, CA $38.68 $0.33 – $128.94
WellSpan Good Samaritan Hospital Lebanon, PA $39.00 $0.04 – $14.00
Chandler Regional Medical Center Chandler, AZ $41.01 $0.05 – $0.84
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg, CA $41.34 $0.14 – $187.89
CHI Health Mercy Council Bluffs Council Bluffs, IA $41.79 $0.04 – $84.58
CHI Health Creighton University Medical Center - Bergan Mercy Omaha, NE $41.79 $0.04 – $84.58
Lasting Hope Recovery Center Omaha, NE $41.79 $0.05 – $84.58
CHI Health Immanuel Omaha, NE $41.79 $0.04 – $84.58
CHI Health Lakeside Omaha, NE $41.79 $0.04 – $84.58
CHI Health Midlands Papillion, NE $41.79 $0.04 – $84.58
AdventHealth New Smyrna Beach New Smyrna Beach, FL $42.09 not published
Dickenson Community Hospital CLINTWOOD, VA $42.18 $0.02 – $0.07
Tiffin Hospital Tiffin, OH $42.24 not published
Marion General Hospital Marion, OH $42.25 $0.09 – $0.33
New Ulm Medical Center MN 56073, MN $42.97 $0.04 – $37.52
UKIAH ADVENTIST HOSPITAL Ukiah, CA $43.50 $0.13 – $163.56
LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA $43.79 $0.06 – $546.48
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA $43.92 $0.05 – $540.96
San Martin Hospital Las Vegas, NV $44.28 $0.04 – $7.59
Northridge Hospital Medical Center Northridge, CA $45.48 $0.04 – $2.00
Providence Centralia Hospital Centralia, WA $45.53 $0.15 – $0.20
PORTLAND ADVENTIST MEDICAL CENTER Portland, OR $45.89 $0.24 – $268.99
Franklin Woods Community Hospital JOHNSON CITY, TN $45.98 $0.02 – $0.07
Russell County Hospital LEBANON, VA $45.98 $0.02 – $0.07
Texas Health Hospital Mansfield Mansfield, TX $46.88 $0.24 – $0.24
Texas Health Huguley Hospital Fort Worth South Burleson, TX $46.88 $0.24 – $0.24
HANFORD COMMUNITY HOSPITAL Selma, CA $47.08 $0.06 – $191.72
Mercy General Hospital Sacramento, CA $47.09 $0.04 – $40.00
Mercy Hospital Pittsburg Pittsburg, KS $47.53 $2.00 – $12.00

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