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 50MG/ML 20ML VIAL
Roseburg, OR
See all hospitals reporting HCPCS J8499 →Price type
Commonspirit Oregon’s median price of $97 is 429% above the median hospital's median price ($18), higher than 81% of the 990 hospitals reporting HCPCS J8499. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 9 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 · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 2 | Cigna commercial|all plans fee schedule · inpatient | $92 | $92 | — | — | — | $92 – $92 |
| 3 | Premera commercial|all plans fee schedule · inpatient | $92 | $92 | — | — | — | $92 – $92 |
| 4 | Aetna commercial|all plans fee schedule · inpatient | $94 | $94 | — | — | — | $94 – $94 |
| 5 | Regence commercial|all plans fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 6 | Premera commercial|all plans fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 7 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $100 | $100 | — | — | — | $100 – $100 |
| 8 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 9 | Aetna commercial|all plans fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
Last updated: Feb 28, 2026
See Hydroxychloroquine 200 mg oral tablet pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.