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
$68
Median
$41
High
$1.5k
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Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 1342 hospitals; the 90th percentile is 246.8× 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 | $89 | $96 | $36 | 37% | 1,344,600 | $0 – $196 |
| 2 | Tanner Medical Center - Villa Rica Villa Rica, GA | $195 | $195 | $162 | 83% | 3,112 | $0 – $357 |
| 3 | Brigham and Women's Hospital Boston, MA | $1 | $1 | — | — | 145 | $0 – $1 |
| 4 | Mayo Clinic Arizona Phoenix, AZ | $44 | $41 | $5 | 12% | 142 | $22 – $49 |
| 5 | Children's Healthcare of Atlanta Atlanta, GA | $61 | $66 | $10 | 15% | 114 | $58 – $87 |
| 6 | Holy Cross Hospital-Silver Spring Silver Spring, MD | $11 | $12 | $7 | 58% | 107 | $4 – $22 |
| 7 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN | $29 | $30 | $9 | 31% | 96 | $0 – $56 |
| 8 | Nemours Children's Hospital 6535 Nemours Parkway | $11 | $11 | $3 | 30% | 96 | $4 – $18 |
| 9 | Children's Healthcare of Atlanta Atlanta, GA | $61 | $66 | $10 | 15% | 92–101 | $58 – $87 |
| 10 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ | $20 | $20 | $1 | 7% | 91 | $0 – $56 |
Ask Claude or any MCP client for HCPCS J0133 pricing at a specific hospital — see how to connect.