Acyclovir intravenous antiviral solution at Mercy Perry

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

Perryville, MO

See all hospitals reporting HCPCS J0133 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Mercy Perry’s median price of $32 is 570% above the median hospital's median price ($5), higher than 71% 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 Mercy Perry

Negotiated rates from the hospital’s own file: 16 payers, 29 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.

Filter by billing methodology

Filter by billing class

#
1	Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$8	$8	—	—	—	$8 – $8
2	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
3	Medicaid hb pcmh mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
4	UnitedHealthcare hb pcmh uhc managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
5	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
6	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
7	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
8	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
9	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
10	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
11	Optum hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
12	UnitedHealthcare hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
13	UnitedHealthcare hb pcmh uhc core facility · fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
14	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
15	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
16	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
17	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$19	$19	—	—	—	$19 – $19
18	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$22	$22	—	—	—	$22 – $22
19	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$25	$25	—	—	—	$25 – $25
20	Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges	$25	$25	—	—	—	$25 – $25
21	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$32	$32	—	—	—	$32 – $32
22	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$32	$32	—	—	—	$32 – $32
23	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
24	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37

Page 1 of 2 · 29 rates

Last updated: Mar 12, 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.