NDC 63323-0325-43
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
Low
$0
Average
$34
Median
$27
High
$221
Filter by billing methodology
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. 59 hospitals; the 90th percentile is 153.4× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Baptist Healthcare System Inc Corbin, KY | $35 | $34 | $26 | 75% | 5–50 | $0 – $149 |
| 2 | Baptist Healthcare System Inc. Louisville, KY | $25 | $29 | $20 | 67% | 3–30 | $0 – $149 |
| 3 | Baptist Healthcare System Inc Paducah, KY | $27 | $25 | $16 | 66% | 2–20 | $0 – $149 |
| 4 | Baptist Healthcare System Inc Elizabethtown, KY | $12 | $20 | $17 | 85% | 2–20 | $0 – $149 |
| 5 | Baptist Healthcare System Inc Lexington, KY | $38 | $33 | $20 | 61% | 1–10 | $0 – $152 |
| 6 | Baptist Healthcare System Inc Richmond, KY | $23 | $26 | $20 | 77% | 1–10 | $0 – $144 |
| 7 | Baptist Healthcare System Inc Albany, IN | $34 | $37 | $14 | 39% | 1–10 | $0 – $112 |
| 8 | Northwestern Memorial Hospital Chicago, IL | $74 | $122 | $110 | 90% | — | $6 – $303 |
| 9 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL | $237 | $221 | $73 | 33% | — | $55 – $303 |
| 10 | Northwestern Medicine Valley West Hospital Sandwich, IL | $135 | $129 | $92 | 71% | — | $19 – $273 |
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