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
Low
$0
Average
$34
Median
$5
High
$763
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
437 hospitals; the 90th percentile is 1952.7× 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.
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707 hospital rates
iThe hospitals that file a Anthem rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $195 | $195 | $162 | 83% | 3,112 | $32 – $357 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $14 | $15 | $11 | 73% | 12–120 | $0 – $36 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $5 | $3 | 65% | 6–60 | $0 – $9 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $11 | $7 | 65% | 6–60 | $0 – $20 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $11 | $7 | 65% | 6–60 | $0 – $20 |
| 6 | FLAGET HEALTHCARE, INC Bardstown, KY fee schedule · outpatient | 3 | $0 | $4 | $6 | 140% | 4–40 | $0 – $13 |
| 7 | SAINT JOSEPH HEALTH SYSTEM, INC London, KY fee schedule · outpatient | 3 | $0 | $5 | $6 | 140% | 4–40 | $0 – $15 |
| 8 | Spooner Health System, Inc Spooner, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | 1–10 | $0 – $0 |
| 9 | Wayne Hospital Company Greenville, OH percent of total billed charges · bothfrom % of charges | 1 | $4 | $4 | — | — | 1–10 | $4 – $4 |
| 10 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3 | $3 | $0 | 6% | — | $3 – $3 |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1 | $2 | $1 | 64% | — | $1 – $3 |
| 15 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $15 | $15 | $5 | 30% | — | $11 – $20 |
| 17 | ARH Mary Breckinridge Health Services, Inc Hayden, KY fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 2 | $10 | $10 | $0 | 1% | — | $9 – $10 |
| 19 | ARH Mary Breckinridge Health Services, Inc Martin, KY fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $13 | $13 | — | — | — | $13 – $13 |
| 21 | ARH Tug Valley Health Services, Inc. Paintsville, KY fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 23 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | $8 | 30% | — | $18 – $34 |
| 25 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS J0133 · Snapshot 20261111T120946Z-9134e7f7