Acyclovir intravenous antiviral solution at Avera Gregory Hospital

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

Acyclovir 500 MG/10 ML Vial

Gregory, SD

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How this price compares nationally

Avera Gregory Hospital’s median price of $78 is 1507% above the median hospital's median price ($5), higher than 89% of the 2,198 hospitals reporting HCPCS J0133. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0133 at Avera Gregory Hospital

Negotiated rates from the hospital’s own file: 4 payers, 10 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	Medica com fee schedule · outpatient	$31	$31	—	—	—	$31 – $31
2	Medica ind fee schedule · outpatient	$31	$31	—	—	—	$31 – $31
3	Medica ind percent of total billed charges · inpatientfrom % of charges	$58	$58	—	—	—	$58 – $58
4	Medica com percent of total billed charges · inpatientfrom % of charges	$69	$69	—	—	—	$69 – $69
5	UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
6	UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
7	Wellmark ppo percent of total billed charges · inpatientfrom % of charges	$79	$79	—	—	—	$79 – $79
8	Wellmark ppo percent of total billed charges · outpatientfrom % of charges	$79	$79	—	—	—	$79 – $79
9	Healthpartners com percent of total billed charges · inpatientfrom % of charges	$85	$85	—	—	—	$85 – $85
10	Healthpartners com percent of total billed charges · outpatientfrom % of charges	$85	$85	—	—	—	$85 – $85

Last updated: Apr 1, 2026

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