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
Low
$0
Average
$62
Median
$41
High
$433
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Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 405 hospitals; the 90th percentile is 295.4× 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 | University of Wisconsin Hospital and Clinics Authority Madison, WI | $129 | $136 | $30 | 22% | 1,344,600 | $28 – $196 |
| 2 | Children's Healthcare of Atlanta Atlanta, GA | $61 | $66 | $10 | 15% | 114 | $58 – $87 |
| 3 | Holy Cross Hospital-Silver Spring Silver Spring, MD | $22 | $22 | $1 | 3% | 107 | $20 – $22 |
| 4 | Children's Healthcare of Atlanta Atlanta, GA | $61 | $66 | $10 | 15% | 92–101 | $58 – $87 |
| 5 | St Luke's Wood River Medical Center, LTD Ketchum, ID | $41 | $41 | $10 | 24% | 81 | $26 – $56 |
| 6 | Mayo Clinic Rochester, MN | $60 | $57 | $9 | 16% | 17–26 | $13 – $63 |
| 7 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN | $43 | $43 | $9 | 21% | 11 | $0 – $56 |
| 8 | Columbus Regional Healthcare System, Inc Whiteville, NC | $33 | $31 | $14 | 47% | 5–50 | $0 – $49 |
| 9 | Santa Monica UCLA Medical Center and Orthopaedic Hospital Santa Monica, CA | $33 | $33 | $21 | 64% | 2–20 | $0 – $238 |
| 10 | Norton Hospitals INC Louisville, KY | $13 | $37 | $41 | 112% | 2–20 | $0 – $116 |
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