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
Providence Saint John's Health Center Santa Monica, CA $68.32 $0.03 – $0.38
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA $70.47 $0.33 – $599.00
Johnson County Community Hospital MOUNTAIN CITY, TN $70.50 $0.02 – $0.07
Providence St Joseph Hospital Chewelah, WA $70.66 not published
Providence Mount Carmel Hospital Colville, WA $70.66 not published
Beckley ARH Hospital Beckley, WV $70.80 $0.02 – $0.02
Harlan ARH Hospital KY 40831, KY $70.80 $0.04 – $0.04
Tug Valley ARH Regional Medical Center Williamson, KY $70.80 $0.02 – $0.04
Barbourville ARH Hospital Barbourville, KY $70.80 $0.04 – $0.04
Providence Medford Medical Center Medford, OR $71.09 not published
Providence Hood River Memorial Hospital Hood River, OR $71.09 not published
Providence Milwaukie Hospital Milwaukie, OR $71.09 $0.03 – $0.15
St Jude Medical Center Fullerton, CA $71.11 $0.05 – $0.23
Providence Mission Hospital - Mission Viejo Mission Viejo, CA $71.11 $0.05 – $0.23
Kadlec Regional Medical Center Richland, WA $71.49 $0.06 – $0.15
UPMC Muncy Muncy, PA $74.40 $0.04 – $0.04
UPMC Wellsboro Wellsboro, PA $74.40 $0.04 – $0.04
UPMC Williamsport Williamsport, PA $74.40 $0.04 – $0.04
Providence St Joseph Medical Center Polson, MT $74.74 $0.07 – $0.09
Adventhealth Waterman Tavares, FL $75.73 not published
Adventhealth Tampa Tampa, FL $76.79 not published
Downey Medical Center Downey, CA $76.86 $0.03 – $0.03
San Bernardino - Fontana Medical Center FONTANA, CA $76.86 $0.03 – $0.03
Orange County Anaheim Medical Center Anaheim, CA $76.86 $0.03 – $0.03
Baldwin Park Medical Center BALDWIN PARK, CA $76.86 $0.03 – $0.03
Riverside Medical Center RIVERSIDE, CA $76.86 $0.03 – $0.03
South Bay Medical Center HARBOR CITY, CA $76.86 $0.03 – $0.03
San Marcos Medical Center SAN MARCOS, CA $76.86 $0.03 – $0.03
West Los Angeles Medical Center LOS ANGELES, CA $76.86 $0.03 – $0.03
Woodland Hills Medical Center WOODLAND HILLS, CA $76.86 $0.03 – $0.03
Panorama Medical Center PANORAMA CITY, CA $76.86 $0.03 – $0.03
San Diego Clairemont Mesa Medical Center SAN DIEGO, CA $76.86 $0.03 – $0.03
Los Angeles Sunset Medical Center LOS ANGELES, CA $76.86 $0.03 – $0.03
Moreno Valley Medical Center MORENO VALLEY, CA $76.86 $0.03 – $0.03
Providence Willamette Falls Medical Center Oregon City, OR $77.35 $0.03 – $0.15
Providence Holy Family Hospital Spokane, WA $77.57 $0.06 – $0.12
Providence Sacred Heart Medical Center and Children's Hospital Spokane, WA $77.57 $0.06 – $0.12
University Hospitals Beachwood Medical Center Beachwood, OH $77.65 $3.41 – $7.68
University Hospitals Conneaut Medical Center Conneaut, OH $77.65 $0.07 – $0.07
University Hospitals Elyria Medical Center Elyria, OH $77.65 $0.04 – $0.04
University Hospitals Geneva Medical Center Geneva, OH $77.65 $0.06 – $0.06
University Hospitals St. John Medical Center Westlake OH, OH $77.65 $0.03 – $0.42
University Hospitals Samaritan Medical Center Ashland, OH $77.65 $0.05 – $0.54
University Hospitals Lake West Medical Center Willoughby OH 44094|7590 Auburn Road, OH $77.65 not published
University Hospitals Parma Medical Center Parma OH 44129|7007 Powers Boulevard, OH $77.65 $0.04 – $0.04
University Hospitals Portage Medical Center Ravenna OH 44266, OH $77.65 $0.05 – $0.05
University Hospitals Cleveland Medical Center Cleveland OH 44106|3999 Richmond Road, OH $77.65 $0.08 – $0.54
University Hospitals Regional Hospitals - Geauga Medical Center Chardon, OH $77.65 $0.06 – $0.06
University Hospitals Ahuja Medical Center Beachwood, OH $77.65 $0.05 – $7.68
Community Hospital San Bernardino San Bernardino, CA $78.20 $0.06 – $26.00

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