NDC 65162-0835-94
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 5 % TOPICAL OINTMENT
Low
$0
Average
$208
Median
$103
High
$1.6k
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 38 hospitals; the 90th percentile is 1001.6× 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 | Scotland Memorial Hospital Inc. Laurinburg, NC | $4 | $5 | $6 | 128% | 8,529–8,556 | $0 – $24 |
| 2 | Dukes Health System LLC Peru, IN | $64 | $86 | $34 | 40% | — | $59 – $319 |
| 3 | Laredo Texas Hospital Company LP Laredo, TX | $28 | $37 | $13 | 34% | — | $26 – $497 |
| 4 | Navarro Hospital LP Corsicana, TX | $179 | $253 | $136 | 54% | — | $77 – $1.0k |
| 5 | Piney Woods Healthcare System LP Lufkin, TX | $118 | $125 | $18 | 15% | — | $53 – $900 |
| 6 | Yavapai Community Hospital Association Prescott, AZ | $368 | $263 | $157 | 60% | — | $60 – $415 |
| 7 | St. Vincent Infirmary Medical Center Sherwood, AR | $48 | $48 | — | — | — | $48 – $48 |
| 8 | CHI St. Vincent Hospital Hot Springs Hot Springs, AR | $596 | $596 | $546 | 92% | — | $50 – $1.1k |
| 9 | St Anthony's Hospital Association Morrilton, AR | $704 | $651 | $540 | 83% | — | $48 – $2.1k |
| 10 | St Vincent Infirmary Medical Center Little Rock, AR | $48 | $48 | — | — | — | $48 – $48 |
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