Acyclovir intravenous antiviral solution at Baylor Scott & White Medical Center - Buda

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 sodium 50 mg/mL intravenous solution

Buda, TX

See all hospitals reporting HCPCS J0133 →

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Pricing by billing methodology

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How this price compares nationally

Baylor Scott & White Medical Center - Buda’s median price of $63 is 1153% above the median hospital's median price ($5), higher than 83% 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 Baylor Scott & White Medical Center - Buda

Negotiated rates from the hospital’s own file: 8 payers, 19 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	Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges	$14	$16	$7	44%	—	$9 – $26
2	UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges	$15	$17	$8	44%	—	$9 – $28
3	Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · inpatientfrom % of charges	$53	$61	$27	44%	—	$33 – $97
4	Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges	$54	$62	$27	44%	—	$33 – $98
5	Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges	$54	$62	$27	44%	—	$33 – $99
6	Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges	$54	$62	$27	44%	—	$33 – $99
7	Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges	$55	$63	$28	44%	—	$34 – $100
8	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$58	$67	$29	44%	—	$36 – $106
9	Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · inpatientfrom % of charges	$62	$72	$32	44%	—	$38 – $114
10	Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges	$62	$72	$32	44%	—	$38 – $114
11	Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges	$63	$72	$32	44%	—	$39 – $115
12	Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges	$64	$73	$32	44%	—	$39 – $117
13	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$65	$74	$33	44%	—	$40 – $118
14	Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges	$66	$76	$33	44%	—	$41 – $120
15	Humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges	$77	$88	$39	44%	—	$47 – $140
16	Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges	$77	$88	$39	44%	—	$47 – $140
17	First Health ppo facility · percent of total billed charges · inpatientfrom % of charges	$82	$95	$42	44%	—	$51 – $151
18	First Health ppo facility · percent of total billed charges · outpatientfrom % of charges	$82	$95	$42	44%	—	$51 – $151
19	Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges	$82	$95	$42	44%	—	$51 – $151

Last updated: Jun 13, 2026

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