Acyclovir intravenous antiviral solution at Boulder Community Health

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 inj per 5 mg

Boulder, CO

See all hospitals reporting HCPCS J0133 →

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Pricing by billing methodology

Price type

How this price compares nationally

Boulder Community Health’s median price of $88 is 1637% above the median hospital's median price ($5), higher than 91% 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 Boulder Community Health

Negotiated rates from the hospital’s own file: 9 payers, 26 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	Anthem commercial professional · fee schedule · both	$0	$0	—	—	—	$0 – $0
2	Anthem managed care professional · fee schedule · both	$0	$0	—	—	—	$0 – $0
3	Cigna commercial professional · fee schedule · both	$0	$0	—	—	—	$0 – $0
4	Humana medicare advantage professional · fee schedule · both	$0	$0	—	—	—	$0 – $0
5	Aetna medicare advantage professional · fee schedule · both	$0	$0	—	—	—	$0 – $0
6	UnitedHealthcare commercial professional · fee schedule · both	$0	$0	—	—	—	$0 – $0
7	Aetna commercial professional · fee schedule · both	$0	$0	$0	40%	—	$0 – $0
8	Cigna commercial facility · fee schedule · outpatient	$0	$0	$0	25%	—	$0 – $0
9	UnitedHealthcare medicare advantage professional · fee schedule · both	$0	$0	—	—	—	$0 – $0
10	Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges	$32	$33	$7	22%	—	$23 – $45
11	Kaiser managed care facility · percent of total billed charges · outpatientfrom % of charges	$34	$35	$7	20%	—	$26 – $44
12	Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$46	$47	$10	20%	—	$35 – $59
13	Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges	$46	$47	$10	20%	—	$35 – $60
14	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$44	$50	$19	37%	—	$26 – $106
15	Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges	$53	$54	$11	20%	—	$40 – $68
16	Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges	$55	$56	$11	20%	—	$42 – $71
17	Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$55	$56	$11	20%	—	$42 – $71
18	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$65	$70	$26	37%	—	$36 – $115
19	Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges	$79	$81	$16	20%	—	$60 – $102
20	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$76	$85	$41	49%	—	$36 – $155
21	MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges	$95	$97	$20	20%	—	$73 – $123
22	Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges	$95	$97	$20	20%	—	$73 – $123
23	MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges	$96	$98	$20	20%	—	$73 – $124
24	Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges	$96	$98	$20	20%	—	$73 – $124
25	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$110	$112	$23	20%	—	$84 – $142

Page 1 of 2 · 26 rates

Last updated: Sep 16, 2026

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