Acyclovir intravenous antiviral solution at Rush Medical Foundation

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 IV SOLN

Quitman, MS

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Pricing by billing methodology

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How this price compares nationally

Rush Medical Foundation’s median price of $126 is 2409% above the median hospital's median price ($5), higher than 95% 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 Rush Medical Foundation

Negotiated rates from the hospital’s own file: 11 payers, 14 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	Humana all payor percent of total billed charges · outpatientfrom % of charges	$100	$100	—	—	—	$100 – $100
2	Cigna all payor other · outpatient	$119	$119	—	—	—	$119 – $119
3	Cigna Healthspring all payor other · outpatient	$124	$124	—	—	—	$124 – $124
4	Humana all payor other · outpatient	$124	$124	—	—	—	$124 – $124
5	Optum all payor other · outpatient	$124	$124	—	—	—	$124 – $124
6	UnitedHealthcare all payor other · outpatient	$124	$124	—	—	—	$124 – $124
7	Ambetter all payor other · outpatient	$125	$125	—	—	—	$125 – $125
8	Molina all payor other · outpatient	$125	$125	—	—	—	$125 – $125
9	WellCare all payor other · outpatient	$125	$125	—	—	—	$125 – $125
10	Aetna all payor percent of total billed charges · outpatientfrom % of charges	$139	$139	—	—	—	$139 – $139
11	UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges	$139	$139	—	—	—	$139 – $139
12	MultiPlan all payor percent of total billed charges · outpatientfrom % of charges	$160	$160	—	—	—	$160 – $160
13	Bcbs Ms all payor other · outpatient	$171	$171	—	—	—	$171 – $171
14	MultiPlan all payor other · inpatient	$182	$182	—	—	—	$182 – $182

Last updated: Apr 1, 2026

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