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 500 MG VIAL
Low
$0
Average
$84
Median
$3
High
$2.0k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 211 hospitals; the 90th percentile is 2410.5× 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 | Northeastern Vermont Regional Hospital, Inc. St. Johnsbury, VT | $128 | $128 | — | — | 800 | $8 – $334 |
| 2 | Norton Hospitals INC Louisville, KY | $10 | $10 | — | — | 9–90 | $0 – $163 |
| 3 | Norton Hospitals INC Louisville, KY | $10 | $10 | — | — | 9–90 | $0 – $163 |
| 4 | Catholic Health Initiatives Colorado Colorado Springs, CO | $56 | $56 | — | — | 6–60 | $0 – $462 |
| 5 | St Francis Hospital Colorado Springs, CO | $56 | $56 | — | — | 6–60 | $0 – $446 |
| 6 | USA Health Children's & Women's Hospital Mobile, AL | $3 | $3 | — | — | 6–60 | $3 – $87 |
| 7 | Self Regional Healthcare Greenwood, SC | $269 | $269 | — | — | 2–20 | $54 – $269 |
| 8 | Northside Hospital, Inc. Canton, GA | $1 | $15 | $25 | 171% | 1–10 | $0 – $119 |
| 9 | Northside Hospital, Inc. Duluth, GA | $0 | $14 | $24 | 176% | 1–10 | $0 – $119 |
| 10 | Baptist Health Medical Center - Arkadelphia Arkadelphia, AR | $20 | $20 | — | — | 1–10 | $0 – $20 |
Ask Claude or any MCP client for HCPCS J0133 pricing at a specific hospital — see how to connect.