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
$57
Median
$15
High
$6.6k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1608 hospitals; the 90th percentile is 1557.5× 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.
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2,429 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | — | — | 24 | $58 – $58 |
| 2 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · outpatientfrom % of charges | 11 | $102 | $92 | $25 | 27% | 10–100 | $46 – $118 |
| 3 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $3.0k | $3.0k | — | — | 7–70 | $3.0k – $3.0k |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $6 | $15 | $16 | 112% | 6–60 | $0 – $49 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 2 | $7 | $9 | $8 | 92% | 6–60 | $0 – $25 |
| 6 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | 1–10 | $50 – $50 |
| 7 | Appalachian Regional Healthcare, Inc. Hinton, WV percent of total billed charges · outpatientfrom % of charges | 2 | $50 | $40 | $14 | 36% | 1–10 | $20 – $50 |
| 8 | Avera Queen of Peace Mitchell, SD percent of total billed charges · outpatientfrom % of charges | 1 | $78 | $78 | — | — | 1–10 | $78 – $78 |
| 9 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | 1–10 | $73 – $73 |
| 10 | Baptist Health Medical Center - Arkadelphia Arkadelphia, AR other · outpatient | 1 | $20 | $20 | — | — | 1–10 | $20 – $20 |
| 11 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | — | — | 1–10 | $58 – $58 |
| 12 | Floyd Valley Healthcare Le Mars, IA percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | 1–10 | $9 – $9 |
| 13 | Indiana University Health Arnett Inc. Lafayette, IN fee schedule · outpatient | 2 | $11.0k | $11.0k | $11.0k | 100% | 1–10 | $37 – $22.0k |
| 14 | Indiana University Health Bedford Inc. Bedford, IN fee schedule · outpatient | 2 | $6.5k | $6.5k | $6.4k | 99% | 1–10 | $37 – $12.9k |
| 15 | Indiana University Health Bloomington Inc. Bloomington, IN fee schedule · outpatient | 2 | $4.6k | $4.6k | $4.6k | 99% | 1–10 | $37 – $9.1k |
| 16 | Indiana University Health North Hospital Inc. Carmel, IN fee schedule · outpatient | 2 | $2.0k | $2.0k | $1.9k | 98% | 1–10 | $37 – $3.9k |
| 17 | Novant Health Mint Hill Medical Center, LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | 1–10 | $65 – $65 |
| 18 | ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. DBA INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL JUNCTION, CO facility · percent of total billed charges · outpatientfrom % of charges | 12 | $143 | $152 | $67 | 44% | 1–10 | $39 – $267 |
| 19 | Sioux Center Health Sioux Center, IA percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | 1–10 | $35 – $35 |
| 20 | St Louis Childrens Hospital Saint Louis, MO fee schedule · both | 1 | $5 | $10 | $7 | 71% | 1–10 | $5 – $20 |
| 21 | Vanderbilt Wilson County Hospital Lebanon, TN percent of total billed charges · bothfrom % of charges | 2 | $73 | $73 | $12 | 17% | 1–10 | $60 – $87 |
| 22 | Wagner Community Memorial Wagner, SD percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | 1–10 | $27 – $27 |
| 23 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 24 | ACADIAN MEDICAL CENTER EUNICE, LA percent of total billed charges · bothfrom % of charges | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS J0133 · Snapshot 20261111T120946Z-9134e7f7