NDC 23155-0216-31
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
23155-0216-31 - cidofovir 375 mg / 5 mL Soln-IV
Low
$142
Average
$2.0k
Median
$1.6k
High
$5.0k
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Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 28 hospitals; the 90th percentile is 12.7× 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 | Dukes Health System LLC Peru, IN | $1.5k | $1.5k | — | — | — | $1.3k – $7.3k |
| 2 | Natchez Hospital Company LLC Natchez, MS | $524 | $524 | — | — | — | $524 – $1.2k |
| 3 | Northwest Hospital LLC Tucson, AZ | $530 | $530 | $5 | 1% | — | $524 – $1.2k |
| 4 | Metro Knoxville HMA LLC Knoxville, TN | $524 | $524 | — | — | — | $524 – $970 |
| 5 | Metro Knoxville HMA LLC Powell, TN | $524 | $524 | — | — | — | $524 – $970 |
| 6 | Affinity Hospital LLC Birmingham, AL | $524 | $656 | $185 | 28% | — | $524 – $918 |
| 7 | Gadsden Regional Medical Center LLC Gadsden, AL | $1.5k | $1.5k | — | — | — | $1.3k – $5.2k |
| 8 | Las Cruces Medical Center LLC Las Cruces, NM | $540 | $540 | — | — | — | $524 – $1.0k |
| 9 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL | $763 | $744 | $98 | 13% | — | $161 – $5.4k |
| 10 | Indiana University Health Bloomington Inc. Bloomington, IN | $142 | $142 | — | — | — | $142 – $2.8k |
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