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
$1
Average
$64
Median
$53
High
$288
Each hospital's average Beechstreet rate, under the methodology and billing class chosen below.
45 hospitals; the 90th percentile is 6.6× 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.
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62 hospital rates
iThe hospitals that file a Beechstreet 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 | Alton Memorial Hospital Alton, IL percent of total billed charges · bothfrom % of charges | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 2 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 1 | $44 | $54 | $20 | 37% | — | $42 – $101 |
| 3 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $54 | $20 | 37% | — | $42 – $101 |
| 4 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 1 | $43 | $53 | $20 | 37% | — | $41 – $99 |
| 5 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $53 | $20 | 37% | — | $41 – $99 |
| 6 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 1 | $46 | $55 | $21 | 37% | — | $43 – $105 |
| 7 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $55 | $21 | 37% | — | $43 – $105 |
| 8 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 9 | Barnes Jewish St. Peters Hospital St. Peters, MO percent of total billed charges · bothfrom % of charges | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 10 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 1 | $42 | $51 | $19 | 37% | — | $40 – $96 |
| 11 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $51 | $19 | 37% | — | $40 – $96 |
| 12 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 1 | $42 | $51 | $19 | 37% | — | $40 – $96 |
| 13 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $51 | $19 | 37% | — | $40 – $96 |
| 14 | Carolinas Medical Center Davidson, NC percent of total billed charges · inpatientfrom % of charges | 1 | $42 | $51 | $19 | 37% | — | $40 – $97 |
| 15 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $51 | $19 | 37% | — | $40 – $97 |
| 16 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 1 | $43 | $53 | $20 | 37% | — | $41 – $99 |
| 17 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $53 | $20 | 37% | — | $41 – $99 |
| 18 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · inpatientfrom % of charges | 1 | $60 | $79 | $50 | 63% | — | $42 – $192 |
| 19 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $79 | $50 | 63% | — | $42 – $192 |
| 20 | Christian Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 21 | East Alabama Medical Center OPELIKA, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $197 | $288 | $165 | 57% | — | $130 – $477 |
| 22 | Lexington Medical Center Lexington, NC percent of total billed charges · inpatientfrom % of charges | 1 | $62 | $80 | $54 | 68% | — | $40 – $203 |
| 23 | Lexington Medical Center Lexington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $80 | $54 | 68% | — | $40 – $203 |
| 24 | Memorial Hospital Shiloh, IL percent of total billed charges · bothfrom % of charges | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 25 | Missouri Baptist Medical Center Saint Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $11 | $11 | $6 | 57% | — | $5 – $17 |
← Payers reporting HCPCS J0133 · Snapshot 20261111T120946Z-9134e7f7