Acyclovir intravenous antiviral solution at Kemper CAH, Inc.

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 IV SOLN

DeKalb, MS

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Pricing by billing methodology

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How this price compares nationally

Kemper CAH, Inc.’s median price of $130 is 2587% above the median hospital's median price ($5), higher than 95% of the 2,202 hospitals reporting HCPCS J0133. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0133 at Kemper CAH, Inc.

Negotiated rates from the hospital’s own file: 10 payers, 13 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	Humana all payor percent of total billed charges · outpatientfrom % of charges	$87	$87	—	—	—	$87 – $87
2	Optum all payor other · outpatient	$109	$109	—	—	—	$109 – $109
3	UnitedHealthcare all payor other · outpatient	$109	$109	—	—	—	$109 – $109
4	Cigna all payor other · outpatient	$122	$122	—	—	—	$122 – $122
5	Cigna Healthspring all payor other · outpatient	$128	$128	—	—	—	$128 – $128
6	Humana all payor other · outpatient	$128	$128	—	—	—	$128 – $128
7	Ambetter all payor other · outpatient	$130	$130	—	—	—	$130 – $130
8	Molina all payor other · outpatient	$130	$130	—	—	—	$130 – $130
9	WellCare all payor other · outpatient	$130	$130	—	—	—	$130 – $130
10	Aetna all payor other · outpatient	$139	$139	—	—	—	$139 – $139
11	UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges	$139	$139	—	—	—	$139 – $139
12	MultiPlan all payor percent of total billed charges · outpatientfrom % of charges	$160	$160	—	—	—	$160 – $160
13	MultiPlan all payor other · inpatient	$182	$182	—	—	—	$182 – $182

Last updated: Apr 1, 2026

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