NDC 63323-0325-14
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 INTRAVENOUS SOLUTION
Low
$0
Average
$419
Median
$240
High
$900
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Showing only prices reported under the case rate methodology. Choose another in the filter above to change the chart. 20 hospitals; the 90th percentile is 1730.8× 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 | Boston Children's Hospital Boston, MA | $10 | $10 | — | — | 110 | $0 – $32 |
| 2 | Northwest Sahurita Hospital LLC Tucson, AZ | $1 | $1 | — | — | — | $0 – $1 |
| 3 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $1 | $1 | — | — | — | $0 – $1 |
| 4 | Oro Valley Hospital LLC Tucson, AZ | $1 | $1 | — | — | — | $0 – $1 |
| 5 | Northwest Hospital LLC Tucson, AZ | $1 | $1 | — | — | — | $0 – $1 |
| 6 | Saint Joseph Health System, Inc Mt. Sterling, KY | $333 | $378 | $113 | 30% | — | $327 – $2.8k |
| 7 | Saint Joseph Health System, Inc London, KY | $321 | $364 | $108 | 30% | — | $315 – $2.8k |
| 8 | Columbus Regional Healthcare System, Inc Whiteville, NC | $0 | $0 | — | — | — | $0 – $53 |
| 9 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $116 | $102 | $38 | 38% | — | $0 – $116 |
| 10 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA | $116 | $116 | — | — | — | $20 – $116 |
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