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 500MG/100ML PED SYRN
Duncan, OK
See all hospitals reporting HCPCS J0133 →Price type
Duncan Regional Hospital’s median price of $72 is 1321% above the median hospital's median price ($5), higher than 87% of the 2,220 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: 7 payers, 12 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 | Blue Cross Blue Shield blue advantage hmo case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Blue Cross Blue Shield blue choice ppo case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Blue Cross Blue Shield blue lincs hmo case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Blue Cross Blue Shield blue preferred case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Blue Cross Blue Shield blue traditional ppo case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Medica ppo percent of total billed charges · outpatientfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
| 7 | Healthcare Highways sync ppo percent of total billed charges · outpatientfrom % of charges | $47 | $47 | — | — | — | $47 – $47 |
| 8 | Healthcare Highways logix ppo percent of total billed charges · outpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 9 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 10 | Aetna all plans percent of total billed charges · outpatientfrom % of charges | $92 | $92 | — | — | — | $92 – $92 |
| 11 | Cigna ppo/pos percent of total billed charges · outpatientfrom % of charges | $97 | $97 | — | — | — | $97 – $97 |
| 12 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $97 | $97 | — | — | — | $97 – $97 |
Last updated: Mar 14, 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.