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
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Bedford, TX $88.20 $0.16 – $0.16
Texas Health Presbyterian Hospital Plano Plano, TX $88.20 $0.16 – $0.16
Texas Health Hospital Rockwall Rockwall, TX $88.20 $0.25 – $0.25
Texas Health Harris Methodist Hospital Southlake Southlake, TX $88.20 $0.25 – $0.25
Texas Health Springwood Hospital Hurst-Euless-Bedford Bedford, TX $88.20 $0.16 – $0.16
Texas Health Harris Methodist Hospital Southwest Fort Worth Fort Worth, TX $88.20 $0.16 – $0.16
Texas Health Harris Methodist Hospital Fort Worth Fort Worth, TX $88.20 $0.16 – $0.16
Texas Health Harris Methodist Hospital Stephenville Stephenville, TX $88.20 $0.25 – $0.25
Texas Health Harris Methodist Hospital Cleburne Cleburne, TX $88.20 $0.25 – $0.25
MID-COLUMBIA MEDICAL CENTER The Dalles, OR $89.51 $197.67 – $594.55
Mercy Hospital Oklahoma City Oklahoma City, OK $91.86 $2.00 – $20.00
Allina Health Faribault Medical Center Faribualt, MN $91.96 $0.04 – $38.42
Buffalo Hospital Buffalo, MN $91.96 $0.04 – $38.42
Cambridge Medical Center Cambridge, MN $91.96 $0.04 – $38.42
River Falls Area Hospital River Falls, MN $91.96 $0.04 – $24.23
Owatonna Hospital Owatonna, MN $91.96 $0.04 – $38.42
HCA FLORIDA TWIN CITIES HOSPITAL DEFUNIAK SPRINGS, FL $93.00 $0.02 – $0.06
Northwestern Medicine McHenry Hospital McHenry, IL $93.10 not published
Yavapai Regional Medical Center (East) Prescott, AZ $94.98 $0.05 – $63.65
Providence Newberg Medical Center Newberg, OR $95.82 $0.03 – $0.03
Providence Portland Medical Center Portland, OR $95.82 $0.03 – $0.15
Providence St Vincent Medical Center Portland, OR $95.82 $0.03 – $0.15
Adventhealth North Pinellas Tarpon Springs, FL $96.31 not published
Adventhealth Sebring Sebring, FL $97.22 not published
Adventhealth Wauchula Wauchula, FL $97.22 not published
MercyOne Genesis Davenport Medical Center Davenport, IA $98.15 not published
MercyOne Genesis Silvis Medical Center Silvis, IL $98.15 $33.55 – $91.22
MercyOne Genesis DeWitt Medical Center DeWitt, IA $98.15 $35.65 – $76.54
MercyOne Genesis Aledo Medical Center Aledo, IL $98.15 $0.22 – $49.28
MercyOne Genesis Davenport West Medical Center Davenport, IA $98.15 not published
Parkview Regional Medical Center & Parkview Hospital Randallia Fort Wayne, IN $101.88 $0.03 – $0.06
Parkview DeKalb Hospital Auburn, IN $101.88 $0.03 – $0.06
Parkview Huntington Hospital Huntington, IN $101.88 $0.03 – $0.06
Parkview LaGrange Hospital Lagrange, IN $101.88 $0.03 – $0.06
Parkview Logansport Hospital Logansport, IN $101.88 $0.04 – $0.24
Parkview Wabash Hospital Wabash, IN $101.88 $0.03 – $0.06
Parkview Noble Hospital Kendallville, IN $101.88 $0.03 – $0.06
Parkview Ortho Hospital Fort Wayne, IN $101.88 $0.03 – $0.06
Parkview Whitley Hospital & Parkview Kosciusko Hospital Columbia City, IN $101.88 $0.03 – $0.06
Adventhealth Connerton Land O Lakes, FL $101.94 not published
Mercy Hospital Ardmore Northwest Ardmore, OK $102.37 $10.00 – $40.00
Mercy Hospital Healdton Healdton, OK $102.37 $10.00 – $10.00
AdventHealth Orlando Orlando, FL $102.52 not published
Sierra Nevada Memorial Hospital Grass Valley, CA $103.01 $0.03 – $0.98
Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) Chicago, IL $103.46 $0.10 – $1.22
Adventhealth Shawnee Mission Shawnee Mission, KS $104.86 not published
Adventhealth South Overland Park Overland Park, KS $104.86 not published
Adventhealth Ottawa Ottawa, KS $104.86 not published
Providence St Peter Hospital Olympia, WA $106.38 $0.06 – $0.12
Providence St Mary Medical Center Walla Walla, WA $107.00 $0.12 – $0.26

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