NDC 00187-0993-95
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 5% Oint 30 g
Low
$1.8k
Average
$2.9k
Median
$3.1k
High
$3.7k
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | White Memorial Medical Center Angeles, CA | $1.4k | $1.8k | $877 | 49% | — | $341 – $5.0k |
| 2 | Dignity Health Sacramento, CA | $3.5k | $3.3k | $752 | 23% | — | $1.6k – $4.4k |
| 3 | Dignity Health Folsom, CA | $3.3k | $3.0k | $1.2k | 39% | — | $489 – $4.4k |
| 4 | Sierra Nevada Memorial-miners Hospital Grass Valley, CA | $3.8k | $3.7k | $557 | 15% | — | $2.1k – $4.2k |
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