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/10ml vial
Forsyth, GA
See all hospitals reporting HCPCS J0133 →Price type
Monroe County Hospital’s median price of $10 is 96% above the median hospital's median price ($5), higher than 54% of the 2,198 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, 9 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 | Caresource medicaid fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | WellCare medicaid fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Blue Cross Blue Shield medicare other · outpatient | $0 | $0 | — | — | 1–10 | $0 – $0 |
| 4 | Humana medicare percent of total billed charges · outpatientfrom % of charges | $10 | $10 | — | — | — | $10 – $10 |
| 5 | Blue Cross Blue Shield medicare percent of total billed charges · outpatientfrom % of charges | $10 | $14 | $6 | 44% | 1–10 | $10 – $23 |
| 6 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 7 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 8 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 9 | Humana commercial percent of total billed charges · outpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
Last updated: May 7, 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.