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 INTRAVENOUS SOLUTION
Utica, NY
See all hospitals reporting HCPCS J0133 →Price type
MVHS, Inc.’s median price of $65 is 1188% above the median hospital's median price ($5), higher than 85% 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: 6 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Excellus excellus bcbs medicaid fee schedule · both | $4 | $3 | $1 | 28% | — | $2 – $4 |
| 2 | Excellus excellus bcbs medicaid hmo fee schedule · both | $4 | $3 | $1 | 28% | — | $2 – $4 |
| 3 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $65 | $58 | $17 | 29% | — | $35 – $74 |
| 4 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $97 | $86 | $25 | 29% | — | $52 – $111 |
| 5 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $111 | $99 | $29 | 29% | — | $59 – $127 |
| 6 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $111 | $99 | $29 | 29% | — | $59 – $127 |
| 7 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $111 | $99 | $29 | 29% | — | $59 – $127 |
| 8 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $111 | $99 | $29 | 29% | — | $59 – $127 |
| 9 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $122 | $109 | $32 | 29% | — | $65 – $140 |
Last updated: Aug 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.