Acyclovir intravenous antiviral solution at Adventist Health Medical Center Tehachapi

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

INJECTION, ACYCLOVIR, 5 MG

Tehachapi, CA

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How this price compares nationally

Adventist Health Medical Center Tehachapi’s median price of $131 is 2489% above the median hospital's median price ($5), higher than 95% of the 2,220 hospitals reporting HCPCS J0133. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0133 at Adventist Health Medical Center Tehachapi

Negotiated rates from the hospital’s own file: 6 payers, 14 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	UnitedHealthcare uhc all payer- all other plans fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	UnitedHealthcare uhc jll csp fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	Blue Cross Blue Shield tricare blue shield percent of total billed charges · outpatientfrom % of charges	$50	$50	—	—	—	$50 – $50
4	Kaiser kaiser medicare ip/op only percent of total billed charges · outpatientfrom % of charges	$50	$50	—	—	—	$50 – $50
5	UnitedHealthcare uhc mcr adv percent of total billed charges · outpatientfrom % of charges	$50	$50	—	—	1–10	$50 – $50
6	Kaiser kaiser ip/op only- all other plans percent of total billed charges · outpatientfrom % of charges	$85	$85	—	—	—	$85 – $85
7	Blue Cross Blue Shield blue shield epn- all other plans percent of total billed charges · outpatientfrom % of charges	$110	$110	—	—	—	$110 – $110
8	Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges	$131	$131	—	—	—	$131 – $131
9	Blue Cross Blue Shield blue cross exchange case rate · outpatient	$136	$136	—	—	—	$136 – $136
10	Blue Cross Blue Shield blue cross non-mcs- all other plans case rate · outpatient	$151	$151	—	—	—	$151 – $151
11	Cigna cigna- all plans percent of total billed charges · outpatientfrom % of charges	$204	$204	—	—	—	$204 – $204
12	Kaiser kaiser medi-cal ip/op only fee schedule · outpatient	$261	$261	—	—	—	$261 – $261
13	Medicaid medi-cal fee schedule · outpatient	$261	$261	—	—	—	$261 – $261
14	Aetna aetna-all plans fee schedule · outpatient	$599	$599	—	—	—	$599 – $599

Last updated: May 21, 2026

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