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NDC 72205017072

Acyclovir Susp 200 MG/5ML

Reported by 40 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Based on 11,134–11,377 billing samples across every hospital reporting.

Low

$2

Average

$223

Median

$153

High

$2k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Atrium Health Hospitals IncShelby, NC$158$157$802,426–2,453$42$285
2The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$140$156$782,347–2,374$39$285
3The Charlotte Mecklenburg Hospital AuthorityConcord, NC$150$153$792,206–2,260$37$285
4The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$150$153$791,931–1,958$30$291
5The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$180$174$86981$36$288
6The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$146$152$77761–788$30$276
7Tri-City Medical CenterOceanside, CA$13$17$8460–478$6$30
8Carolinas Medical CenterCharlotte, NC$160$162$8116–25$57$300
9Floyd Healthcare Management IncRome, GA$342$307$1222–20$97$485
10The Medical Center of Central Georgia IncMacon, GA$373$381$932–20$171$531
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Look up this code directly

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