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HANK Price Transparency. (n.d.).
ACYCLOVIR 400MG TABLET (CDM 720000014) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved October 15, 2026 , from http://ppman.hank.ai/transparency/procedure/720000014/by-state?code_type=CDM
“ACYCLOVIR 400MG TABLET (CDM 720000014) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/720000014/by-state?code_type=CDM. Accessed
October 15, 2026 .
“ACYCLOVIR 400MG TABLET (CDM 720000014) by State,” HANK Price Transparency ,
accessed October 15, 2026 ,
http://ppman.hank.ai/transparency/procedure/720000014/by-state?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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CDM · across United States
720000014 — Acyclovir 400mg Tablet
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$5,749
National median
$5,749 – $5,749
IQR (p25 – p75)
1
hospitals filing
1
states
Walking in without insurance?
Cash / self-pay price
Cash median
$1
vs. negotiated
-100.0%
Hospitals reporting
9
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 720000014 (CDM), with interquartile range
State Median p25 p75
MD $5,749 $5,749 $5,749