Acyclovir intravenous antiviral solution at Christian 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 SODIUM 50 MG/ML INTRAVENOUS SOLUTION

St. Louis, MO

See all hospitals reporting HCPCS J0133 →

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How this price compares nationally

Christian Hospital’s median price of $33 is 563% above the median hospital's median price ($5), higher than 71% 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 Christian Hospital

Negotiated rates from the hospital’s own file: 10 payers, 23 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	Aetna bjc hb aetna commercial community fee schedule · both	$18	$18	—	—	—	$18 – $18
2	Cigna bjc hb cigna local plus community fee schedule · both	$20	$20	—	—	—	$20 – $20
3	UnitedHealthcare bjc hb united health care community fee schedule · both	$20	$20	—	—	—	$20 – $20
4	Cigna bjc hb cigna hmo/ppo community fee schedule · both	$22	$22	—	—	—	$22 – $22
5	Cigna bjc hb cigna special community fee schedule · both	$22	$22	—	—	—	$22 – $22
6	Humana bjc hb humana choicecare community percent of total billed charges · bothfrom % of charges	$28	$28	—	—	—	$28 – $28
7	Blue Cross Blue Shield bjc hb wash u student health percent of total billed charges · bothfrom % of charges	$28	$28	—	—	—	$28 – $28
8	Blue Cross Blue Shield bjc hb anthem choice community fee schedule · both	$32	$32	—	—	—	$32 – $32
9	Blue Cross Blue Shield bjc hb anthem access community fee schedule · both	$32	$32	—	—	—	$32 – $32
10	Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges	$38	$38	—	—	—	$38 – $38
11	Aetna bjc hb first health percent of total billed charges · bothfrom % of charges	$38	$38	—	—	—	$38 – $38
12	First Health bjc hb first health percent of total billed charges · bothfrom % of charges	$38	$38	—	—	—	$38 – $38
13	UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges	$38	$38	—	—	—	$38 – $38
14	Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges	$39	$39	—	—	—	$39 – $39
15	Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges	$39	$39	—	—	—	$39 – $39
16	MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges	$39	$39	—	—	—	$39 – $39
17	Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges	$39	$39	—	—	—	$39 – $39
18	Cigna bjc hb cigna behavioral health percent of total billed charges · bothfrom % of charges	$41	$41	—	—	—	$41 – $41
19	Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$41	$41	—	—	—	$41 – $41
20	Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$41	$41	—	—	—	$41 – $41
21	Blue Cross Blue Shield bjc hb anthem alliance epo percent of total billed charges · bothfrom % of charges	$44	$44	—	—	—	$44 – $44
22	Blue Cross Blue Shield bjc hb anthem blue preferred percent of total billed charges · bothfrom % of charges	$44	$44	—	—	—	$44 – $44
23	Blue Cross Blue Shield bjc hb anthem traditional percent of total billed charges · bothfrom % of charges	$45	$45	—	—	—	$45 – $45

Last updated: Dec 15, 2025

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