Acyclovir intravenous antiviral solution at CHRISTUS West Beaumont

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 (Zovirax) 70 mg in dextrose 5 % 14 mL IV syringe

Beaumont, TX

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How this price compares nationally

CHRISTUS West Beaumont’s median price of $32 is 539% above the median hospital's median price ($5), higher than 70% 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 CHRISTUS West Beaumont

Negotiated rates from the hospital’s own file: 11 payers, 28 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	UnitedHealthcare all payer fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	UnitedHealthcare hix fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	Aetna new business fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
4	Aetna epo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
5	Aetna hmo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
6	Aetna pos fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
7	Aetna ppo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
8	Humana choicecare fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
9	Bcbs Tx blue advantage hmo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
10	Bcbs Tx heb fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
11	Bcbs Tx hmo fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
12	Bcbs Tx ppo fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
13	Bcbs Tx traditional fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
14	UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges	$24	$21	$9	43%	—	$3 – $34
15	UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges	$24	$21	$9	43%	—	$3 – $34
16	UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges	$24	$21	$9	43%	—	$3 – $34
17	UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges	$24	$21	$9	43%	—	$3 – $34
18	Aetna mm percent of total billed charges · outpatientfrom % of charges	$58	$51	$22	43%	—	$6 – $82
19	Molina chip km percent of total billed charges · outpatientfrom % of charges	$72	$64	$27	43%	—	$8 – $103
20	Molina star km percent of total billed charges · outpatientfrom % of charges	$72	$64	$27	43%	—	$8 – $103
21	Molina star plus km percent of total billed charges · outpatientfrom % of charges	$72	$64	$27	43%	—	$8 – $103
22	Cigna new business percent of total billed charges · outpatientfrom % of charges	$94	$83	$35	43%	—	$10 – $134
23	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$108	$95	$41	43%	—	$12 – $155
24	Devoted mm percent of total billed charges · outpatientfrom % of charges	$120	$106	$45	43%	—	$13 – $172
25	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$144	$127	$54	43%	—	$16 – $206

Page 1 of 2 · 28 rates

Last updated: Jan 13, 2026

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