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
Monroe, LA
See all hospitals reporting HCPCS J0133 →Price type
Brfhh Monroe, Llc’s median price of $20 is 324% above the median hospital's median price ($5), higher than 63% of the 2,187 hospitals reporting HCPCS J0133. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 13 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 | Bcbs La all payor fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Aetna Better Health all payor other · outpatient | $13 | $13 | $5 | 35% | — | $8 – $20 |
| 3 | Amerihealth Caritas all payor other · outpatient | $13 | $13 | $5 | 35% | — | $8 – $20 |
| 4 | Humana all payor other · outpatient | $13 | $13 | $5 | 35% | — | $8 – $20 |
| 5 | UnitedHealthcare all payor other · outpatient | $13 | $13 | $5 | 35% | — | $8 – $20 |
| 6 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $25 | $27 | $10 | 36% | — | $14 – $44 |
| 7 | Cigna all payor other · outpatient | $34 | $35 | $12 | 35% | — | $21 – $54 |
| 8 | Cigna all payor other · inpatient | $39 | $41 | $14 | 35% | — | $24 – $63 |
| 9 | Aetna all payor other · inpatient | $51 | $54 | $19 | 35% | — | $31 – $82 |
| 10 | First Health all payor other · inpatient | $51 | $54 | $19 | 35% | — | $31 – $82 |
| 11 | Aetna all payor other · outpatient | $54 | $57 | $20 | 35% | — | $33 – $87 |
| 12 | First Health all payor other · outpatient | $54 | $57 | $20 | 35% | — | $33 – $87 |
| 13 | MultiPlan all payor other · outpatient | $55 | $58 | $20 | 35% | — | $34 – $88 |
Last updated: Apr 1, 2026
See Acyclovir intravenous antiviral solution pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.