Acyclovir intravenous antiviral solution at Mayo Clinic

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 INTRAVENOUS SOLUTION

Rochester, MN

See all hospitals reporting HCPCS J0133 →

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How this price compares nationally

Mayo Clinic’s median price of $60 is 1088% above the median hospital's median price ($5), higher than 82% of the 2,220 hospitals reporting HCPCS J0133. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0133 at Mayo Clinic

Negotiated rates from the hospital’s own file: 18 payers, 61 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 medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$13	$13	—	—	—	$13 – $13
2	Blue Cross Blue Shield medicaid base apr drg only [1277] facility · percent of total billed charges · bothfrom % of charges	$13	$13	—	—	—	$13 – $13
3	Healthpartners medicaid cah healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges	$13	$13	—	—	—	$13 – $13
4	Molina medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$13	$13	—	—	—	$13 – $13
5	Ucare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$13	$13	—	—	—	$13 – $13
6	Ucare pps medicaid ucare [1184] facility · percent of total billed charges · bothfrom % of charges	$13	$13	—	—	—	$13 – $13
7	UnitedHealthcare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$13	$13	—	—	—	$13 – $13
8	Medica medica prime solutions part b medicare advantage plan [150] facility · fee schedule · both	$27	$27	—	—	—	$27 – $27
9	Medica medica medicaid [1244] facility · percent of total billed charges · bothfrom % of charges	$31	$31	—	—	16	$31 – $31
10	Medica medica medicare advantage plan msho msc+ cap [167] facility · percent of total billed charges · bothfrom % of charges	$32	$32	—	—	—	$32 – $32
11	Medica medicaid medica choice care msc+ [1175] facility · percent of total billed charges · bothfrom % of charges	$32	$32	—	—	—	$32 – $32
12	Healthpartners healthpartners medicare advantage plan part b [610] facility · fee schedule · both	$36	$36	—	—	—	$36 – $36
13	Optum medica ma medicare advantage plan behavioral health [1350] facility · percent of total billed charges · bothfrom % of charges	$38	$38	—	—	—	$38 – $38
14	Blue Cross Blue Shield blue cross blue shield aco [851] facility · percent of total billed charges · bothfrom % of charges	$55	$55	—	—	—	$55 – $55
15	Ucare ucare ifp [1108] facility · percent of total billed charges · bothfrom % of charges	$55	$55	—	—	—	$55 – $55
16	Blue Cross Blue Shield blue cross blue shield fep [874] facility · percent of total billed charges · bothfrom % of charges	$56	$56	—	—	—	$56 – $56
17	Anthem blue cross blue shield by payor [14] facility · percent of total billed charges · bothfrom % of charges	$57	$57	—	—	—	$57 – $57
18	Blue Cross Blue Shield blue cross blue shield by payor [14] facility · percent of total billed charges · bothfrom % of charges	$57	$57	—	—	1–10	$57 – $57
19	Blue Cross Blue Shield complex care complex and cancer care [806] facility · percent of total billed charges · bothfrom % of charges	$57	$57	—	—	—	$57 – $57
20	Blue Cross Blue Shield transplant bcbs [1140] facility · percent of total billed charges · bothfrom % of charges	$57	$57	—	—	—	$57 – $57
21	Healthpartners complex care complex and cancer care [806] facility · percent of total billed charges · bothfrom % of charges	$57	$57	—	—	—	$57 – $57
22	Medica az medica non mayo employees group [754] facility · percent of total billed charges · bothfrom % of charges	$57	$57	—	—	—	$57 – $57
23	Medica by plan [76] facility · percent of total billed charges · bothfrom % of charges	$57	$57	—	—	—	$57 – $57
24	Medica deanhp by medica west mc hmo 90 pct [1349] facility · percent of total billed charges · bothfrom % of charges	$57	$57	—	—	—	$57 – $57
25	Healthpartners transplant [692] facility · percent of total billed charges · bothfrom % of charges	$57	$57	—	—	—	$57 – $57

Page 1 of 3 · 61 rates

Last updated: Aug 14, 2026

Compare to other hospitals

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.