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)
Low
$10
Average
$360
Median
$182
High
$887
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Boston Children's Hospital Boston, MA | $10 | $10 | — | — | 110 | $10 – $165 |
| 2 | Gundersen Luthern Medical Center Inc La Crosse, WI | $182 | $182 | — | — | — | $182 – $182 |
| 3 | University of Arkansas for Medical Sciences Little Rock, AR | $887 | $887 | — | — | — | $34 – $887 |
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