NDC 13668-0515-02
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.
Generation details were not recorded for this description.
Original text from hospital filings
ACYCLOVIR 5 % TOPICAL OINTMENT
Based on 172 billing samples across every hospital reporting.
Low
$46
Average
$296
Median
$47
High
$1.6k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 16 hospitals; the 90th percentile is 13.3× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Boston Children's Hospital Boston, MA | $47 | $46 | $8 | 18% | 172 | $31 – $59 |
| 2 | Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital DENVER, CO | $254 | $250 | $107 | 43% | — | $82 – $443 |
| 3 | Intermountain Front Range Inc. Dba Intermountain Health Lutheran Hospital WHEAT RIDGE, CO | $254 | $250 | $104 | 42% | — | $82 – $443 |
| 4 | University of Florida Health Gainesville, FL | $499 | $542 | $180 | 33% | — | $209 – $1.0k |
| 5 | UF Health The Villages, FL | $608 | $634 | $107 | 17% | — | $459 – $847 |
| 6 | UF Health Leesburg, FL | $598 | $609 | $73 | 12% | — | $459 – $707 |
| 7 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $448 | $448 | — | — | — | $448 – $448 |
| 8 | Boston Children's Hospital Waltham, MA | $47 | $46 | $8 | 18% | — | $31 – $59 |
| 9 | Boston Children's Hospital Needham, MA | $48 | $47 | $8 | 18% | — | $31 – $59 |
| 10 | Boston Children's Hospital Dartmouth, MA | $48 | $47 | $8 | 18% | — | $31 – $59 |
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