NDC 00143-9299-01
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
GANCICLOVIR SODIUM 500 MG/10ML IV (WET SOLR VIAL)
Based on 114–150 billing samples across every hospital reporting.
Low
$39
Average
$182
Median
$118
High
$1.3k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 140 hospitals; the 90th percentile is 4.1× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Boston Children's Hospital Boston, MA | $130 | $125 | $28 | 23% | 110 | $10 – $165 |
| 2 | Fairview Health Services Minneapolis, MN | $99 | $98 | $28 | 29% | 2–20 | $34 – $155 |
| 3 | Baptist Healthcare System Inc Lexington, KY | $170 | $220 | $190 | 86% | 2–20 | $29 – $651 |
| 4 | St Luke's Methodist Hospital Cedar Rapids, IA | $47 | $51 | $16 | 32% | — | $32 – $73 |
| 5 | Trinity Regional Medical Center Fort Dodge, IA | $105 | $101 | $51 | 51% | — | $32 – $178 |
| 6 | Meriter Hospital, Inc Madison, WI | $83 | $96 | $40 | 42% | — | $45 – $187 |
| 7 | Gundersen Luthern Medical Center Inc La Crosse, WI | $137 | $111 | $52 | 47% | — | $34 – $182 |
| 8 | CHI St. Vincent Hospital Hot Springs Hot Springs, AR | $160 | $183 | $120 | 66% | — | $37 – $361 |
| 9 | Alegent Creighton Health Omaha, NE | $64 | $75 | $32 | 43% | — | $25 – $130 |
| 10 | Alegent Health Memorial Hospital, Schuyler Schuyler, NE | $147 | $129 | $33 | 25% | — | $33 – $173 |
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