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 50 MG/ML IV SOLN
Lancaster, PA
See all hospitals reporting HCPCS J0133 →Price type
Lancaster General Health’s median price of $12 is 138% above the median hospital's median price ($5), higher than 56% 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: 9 payers, 27 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 independence blue cross commercial facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Cigna cigna new business facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Blue Cross Blue Shield cbc commercial facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Aetna aetna commercial facility · case rate · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Amerihealth Caritas amerihealth caritas medicaid hmo facility · percent of total billed charges · outpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Aetna aetna medicare advantage facility · other · outpatient | $4 | $4 | $0 | 12% | — | $3 – $4 |
| 8 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $4 | $4 | $1 | 12% | — | $3 – $5 |
| 9 | Devoted devoted health medicare advantage facility · other · outpatient | $7 | $7 | $1 | 12% | — | $6 – $8 |
| 10 | Highmark highmark chip facility · other · outpatient | $9 | $8 | $1 | 12% | — | $7 – $9 |
| 11 | Oscar oscar health plan facility · other · outpatient | $9 | $8 | $1 | 12% | — | $7 – $9 |
| 12 | Highmark highmark aca facility · other · outpatient | $10 | $10 | $1 | 12% | — | $8 – $11 |
| 13 | Highmark highmark commercial preferred facility · other · outpatient | $12 | $11 | $1 | 12% | — | $9 – $13 |
| 14 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $13 | $13 | $2 | 12% | — | $11 – $14 |
| 15 | Highmark highmark commercial facility · other · outpatient | $15 | $14 | $2 | 12% | — | $12 – $16 |
| 16 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $15 | $14 | $2 | 12% | — | $12 – $16 |
| 17 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges | $15 | $14 | $2 | 12% | — | $12 – $16 |
| 18 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $15 | $14 | $2 | 12% | — | $12 – $16 |
| 19 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $15 | $14 | $2 | 12% | — | $12 – $16 |
| 20 | Highmark highmark aca facility · percent of total billed charges · inpatientfrom % of charges | $18 | $17 | $2 | 12% | — | $14 – $19 |
| 21 | Highmark highmark chip facility · percent of total billed charges · inpatientfrom % of charges | $18 | $17 | $2 | 12% | — | $14 – $19 |
| 22 | Highmark highmark commercial facility · percent of total billed charges · inpatientfrom % of charges | $18 | $17 | $2 | 12% | — | $14 – $19 |
| 23 | Highmark highmark commercial non-preferred facility · percent of total billed charges · inpatientfrom % of charges | $18 | $17 | $2 | 12% | — | $14 – $19 |
| 24 | Highmark highmark commercial preferred facility · percent of total billed charges · inpatientfrom % of charges | $18 | $17 | $2 | 12% | — | $14 – $19 |
| 25 | Magellan magellan facility · percent of total billed charges · inpatientfrom % of charges | $18 | $17 | $2 | 12% | — | $14 – $19 |
Last updated: Mar 31, 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.