ACYCLOVIR SODIUM IV SOLN 50 MG/ML - as described in hospitals' own price files.
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|
| Medical Center Enterprise | Enterprise, AL | $0.33 | $0.09 | $3.67 | $0.01 - $3.67 |
| Mat-Su Regional Medical Center | Palmer, AK | $0.36 | $0.82 | $1.20 | $0.11 - $1.15 |
| Gadsden Regional Medical Center | Gadsden, AL | $0.31 | $1.39 | $2.60 | $0.06 - $1,525 |
| Grandview Medical Center | Birmingham, AL | $0.47 | $1.62 | $3.10 | $0.06 - $6.90 |
| Crestwood Medical Center | Huntsville, AL | $1.18 | $2.62 | $6.53 | $0.04 - $6.53 |
| Flowers Hospital | Dothan, AL | $1.60 | $7.99 | $10.69 | $0.04 - $10.69 |
| Providence St. Mary Medical Center | Walla Walla, WA | $30.00 | - | $42.86 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $33.30 | - | $95.15 | - |
| Saint John'S Health Center | Santa Monica, CA | $33.30 | - | $95.15 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $33.30 | - | $95.15 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $33.30 | - | $95.15 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $33.30 | - | $95.15 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $33.30 | - | $95.15 | - |
| Kadlec Regional Medical Center | Richland, WA | $34.61 | - | $49.44 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $36.04 | - | $75.08 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $36.04 | - | $75.08 | - |
| Swedish Issaquah | Issaquah, WA | $36.04 | - | $75.08 | - |
| Providence St. Joseph Hospital | Eureka, CA | $44.76 | - | $93.25 | - |
| St. Mary Medical Center | Long Beach, CA | $44.76 | - | $93.25 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $44.76 | - | $93.25 | - |
| Providence Centralia Hospital | Centralia, WA | $45.53 | - | $87.55 | - |
| Providence St. Peter Hospital | Olympia, WA | $45.53 | - | $87.55 | - |
| Providence Seward Hospital | Seward, AK | $50.70 | - | $65.00 | - |
| Providence Valdez Medical Center | Valdez, AK | $50.70 | - | $65.00 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $50.70 | - | $65.00 | - |
| Providence Alaska Medical Center | Anchorage, AK | $50.70 | - | $65.00 | - |
| Covenant Hospital Levelland | Levelland, TX | $56.70 | - | $135 | - |
| Covenant Hospital Plainview | Plainview, TX | $56.70 | - | $135 | - |
| Grace Surgical Hospital | Lubbock, TX | $56.70 | - | $135 | - |
| Covenant Health Hobbs Hospital | Hobbs, NM | $56.70 | - | $135 | - |
| Covenant Medical Center | Lubbock, TX | $56.70 | - | $135 | - |
| Providence Holy Family Hospital | Spokane, WA | $70.66 | - | $101 | - |
| Providence Mount Carmel Hospital | Colville, WA | $70.66 | - | $101 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $70.66 | - | $101 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $71.09 | - | $94.78 | - |
| Providence Newberg Medical Center | Newberg, OR | $71.09 | - | $94.78 | - |
| Providence Seaside Hospital | Seaside, OR | $71.09 | - | $94.78 | - |
| Providence Medford Medical Center | Medford, OR | $71.09 | - | $94.78 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $71.09 | - | $94.78 | - |
| Providence St. Vincent Medical Center | Portland, OR | $71.09 | - | $94.78 | - |
| Providence Portland Medical Center | Portland, OR | $71.09 | - | $94.78 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $71.09 | - | $94.78 | - |
| Providence St. Joseph Medical Center | Polson, MT | $71.74 | - | $89.68 | - |
| St. Patrick Hospital | Missoula, MT | $71.74 | - | $89.68 | - |
| Healdsburg Hospital | Healdsburg, CA | $84.15 | - | $165 | - |
| Petaluma Valley Hospital | Petaluma, CA | $84.15 | - | $165 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $84.15 | - | $165 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $84.15 | - | $165 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $146 | - | $286 | - |
Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.