NDC 55150-0155-20
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 SODIUM 50 MG/ML IV SOLN
Based on 1,345,686–1,345,929 billing samples across every hospital reporting.
Low
$0
Average
$103
Median
$36
High
$5.0k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 472 hospitals; the 90th percentile is 388.8× 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 | University of Wisconsin Hospital and Clinics Authority Madison, WI | $128 | $129 | $39 | 30% | 1,344,600 | $28 – $196 |
| 2 | Children's Healthcare of Atlanta Atlanta, GA | $60 | $58 | $18 | 31% | 401 | $27 – $87 |
| 3 | Boston Children's Hospital Boston, MA | $22 | $34 | $23 | 68% | 282 | $0 – $86 |
| 4 | Children's Healthcare of Atlanta Atlanta, GA | $60 | $58 | $18 | 31% | 163–181 | $27 – $87 |
| 5 | Holy Cross Hospital-Silver Spring Silver Spring, MD | $22 | $22 | $1 | 3% | 107 | $20 – $22 |
| 6 | St Luke's Wood River Medical Center, LTD Ketchum, ID | $41 | $40 | $10 | 25% | 81 | $26 – $56 |
| 7 | Mayo Clinic Rochester, MN | $60 | $57 | $10 | 17% | 17–26 | $13 – $63 |
| 8 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN | $39 | $35 | $18 | 50% | 11 | $0 – $56 |
| 9 | Columbus Regional Healthcare System, Inc Whiteville, NC | $33 | $30 | $15 | 49% | 5–50 | $0 – $49 |
| 10 | Norton Hospitals INC Louisville, KY | $5 | $34 | $41 | 121% | 4–40 | $0 – $116 |
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