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
Rocky Mount, NC
See all hospitals reporting HCPCS J0133 →Price type
Nash Hospitals’s median price of $26 is 453% above the median hospital's median price ($5), higher than 67% of the 2,187 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, 13 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 | Cigna commercial facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $23 | $23 | $3 | 15% | — | $19 – $26 |
| 3 | Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $23 | $23 | $3 | 15% | — | $20 – $26 |
| 4 | UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $23 | $23 | $3 | 15% | — | $20 – $26 |
| 5 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $23 | $23 | $3 | 15% | — | $20 – $26 |
| 6 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $52 | $52 | $8 | 15% | — | $45 – $60 |
| 7 | Blue Cross Blue Shield blue select/blue value/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $55 | $55 | $8 | 15% | — | $47 – $63 |
| 8 | Medcost ultra facility · percent of total billed charges · inpatientfrom % of charges | $77 | $77 | $11 | 15% | — | $66 – $88 |
| 9 | Medcost ultra facility · percent of total billed charges · outpatientfrom % of charges | $82 | $82 | $12 | 15% | — | $70 – $94 |
| 10 | Medcost administrator id: 580 facility · percent of total billed charges · inpatientfrom % of charges | $92 | $92 | $14 | 15% | — | $79 – $106 |
| 11 | Medcost administrator id: 580 facility · percent of total billed charges · outpatientfrom % of charges | $100 | $100 | $15 | 15% | — | $85 – $115 |
| 12 | Medcost all other business/commercial facility · percent of total billed charges · inpatientfrom % of charges | $101 | $101 | $15 | 15% | — | $86 – $116 |
| 13 | Medcost all other business/commercial facility · percent of total billed charges · outpatientfrom % of charges | $104 | $104 | $15 | 15% | — | $88 – $119 |
Last updated: Jun 18, 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.