Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
ACYCLOVIR SODIUM 50 MG/ML IV SOLN
Low
$0
Average
$53
Median
$12
High
$8.2k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1414 hospitals; the 90th percentile is 1913.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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1,960 hospital rates
iThe hospitals that file a Cigna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $70 | $88 | $26 | 29% | 1,344,600 | $69 – $124 |
| 2 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN percent of total billed charges · bothfrom % of charges | 4 | $24 | $27 | $8 | 28% | 96 | $15 – $39 |
| 3 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $35 | $35 | $1 | 4% | 82 | $33 – $36 |
| 4 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 3 | $4 | $22 | $26 | 117% | 50 | $4 – $63 |
| 5 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | — | — | 44 | $58 – $58 |
| 6 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $25 | $30 | $21 | 68% | 41 | $9 – $62 |
| 7 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL fee schedule · outpatient | 1 | $6 | $6 | — | — | 30 | $6 – $6 |
| 8 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN percent of total billed charges · bothfrom % of charges | 3 | $29 | $29 | $7 | 24% | 11 | $22 – $35 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · inpatient | 1 | $56 | $56 | — | — | 6–60 | $56 – $56 |
| 10 | St Francis Hospital Colorado Springs, CO other · inpatient | 1 | $56 | $56 | — | — | 6–60 | $56 – $56 |
| 11 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 4 | $0 | $7 | $13 | 195% | 2–20 | $0 – $40 |
| 12 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | — | — | 2–20 | $6 – $6 |
| 13 | Novant Health Thomasville Medical Center, LLC Thomasville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | — | — | 1–10 | $93 – $93 |
| 14 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 15 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 16 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 17 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 18 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 19 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 1 | $102 | $102 | $40 | 39% | — | $62 – $142 |
| 20 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | $0 | 6% | — | $4 – $4 |
| 23 | ALASKA REGIONAL HOSPITAL Anchorage, AK percent of total billed charges · outpatientfrom % of charges | 1 | $119 | $122 | $83 | 68% | — | $30 – $220 |
| 24 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
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