NDC 63323-0325-41
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
INJECTION, ACYCLOVIR, 5 MG
Based on 17–170 billing samples across every hospital reporting.
Low
$0
Average
$34
Median
$24
High
$589
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 74 hospitals; the 90th percentile is 94.1× 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 | Baptist Healthcare System Inc Corbin, KY | $30 | $27 | $24 | 87% | 5–50 | $0 – $75 |
| 2 | Baptist Healthcare System Inc. Louisville, KY | $17 | $23 | $23 | 97% | 3–30 | $0 – $75 |
| 3 | Baptist Healthcare System Inc Paducah, KY | $15 | $24 | $23 | 97% | 2–20 | $0 – $75 |
| 4 | Baptist Healthcare System Inc Elizabethtown, KY | $11 | $22 | $23 | 107% | 2–20 | $0 – $75 |
| 5 | Hillsdale Hospital Hillsdale, MI | $68 | $58 | $26 | 45% | 2–20 | $0 – $86 |
| 6 | Baptist Healthcare System Inc Lexington, KY | $20 | $25 | $23 | 95% | 1–10 | $0 – $76 |
| 7 | Baptist Healthcare System Inc Richmond, KY | $15 | $22 | $22 | 99% | 1–10 | $0 – $72 |
| 8 | Baptist Healthcare System Inc Albany, IN | $17 | $19 | $16 | 85% | 1–10 | $0 – $56 |
| 9 | Northwestern Medicine Central DuPage Hospital Winfield, IL | $50 | $54 | $20 | 38% | — | $11 – $80 |
| 10 | Northwestern Memorial Hospital Chicago, IL | $56 | $57 | $41 | 72% | — | $2 – $127 |
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