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 IV SOLN
Based on 1,351,626–1,355,496 billing samples across every hospital reporting.
Low
$0
Average
$69
Median
$15
High
$4.4k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 2097 hospitals; the 90th percentile is 2223.2× 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 | University of Wisconsin Hospital and Clinics Authority Madison, WI | $85 | $91 | $40 | 45% | 1,344,600 | $0 – $196 |
| 2 | Tanner Medical Center - Villa Rica Villa Rica, GA | $0 | $60 | $127 | 212% | 3,112 | $0 – $357 |
| 3 | Northeastern Vermont Regional Hospital, Inc. St. Johnsbury, VT | $295 | $212 | $124 | 59% | 800 | $8 – $334 |
| 4 | Missouri Baptist Medical Center Saint Louis, MO | $12 | $16 | $15 | 92% | 540 | $1 – $84 |
| 5 | Children's Healthcare of Atlanta Atlanta, GA | $60 | $58 | $18 | 31% | 401 | $27 – $87 |
| 6 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA | $126 | $2.1k | $4.4k | 211% | 168–294 | $3 – $12.4k |
| 7 | Children's Healthcare of Atlanta Atlanta, GA | $60 | $58 | $18 | 31% | 163–181 | $27 – $87 |
| 8 | Brigham and Women's Hospital Boston, MA | $1 | $1 | — | — | 145 | $0 – $1 |
| 9 | Mayo Clinic Arizona Phoenix, AZ | $44 | $41 | $5 | 12% | 142 | $22 – $49 |
| 10 | Nemours Children's Hospital 6535 Nemours Parkway | $9 | $10 | $4 | 38% | 126 | $4 – $18 |
Ask Claude or any MCP client for HCPCS J0133 pricing at a specific hospital — see how to connect.