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 SOD 500 MG/10 ML VIAL
Pendleton, OR
See all hospitals reporting HCPCS J0133 →Price type
Commonspirit Oregon’s median price of $92 is 1840% above the median hospital's median price ($5), higher than 92% 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: 4 payers, 8 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 | Cigna commercial|all plans fee schedule · inpatient | $55 | $55 | — | — | — | $55 – $55 |
| 2 | Cigna commercial|all plans fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 3 | Regence commercial|all plans fee schedule · inpatient | $82 | $82 | — | — | — | $82 – $82 |
| 4 | Regence commercial|all plans fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 5 | Aetna commercial|all plans fee schedule · inpatient | $97 | $97 | — | — | — | $97 – $97 |
| 6 | Aetna commercial|all plans fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 7 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $97 | $97 | — | — | — | $97 – $97 |
| 8 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
Last updated: Feb 28, 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.