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 50 MG/ML SOLN 10 ML VIAL
LEXINGTON, MS
See all hospitals reporting HCPCS J0133 →Price type
Ummc Holmes County’s median price of $63 is 1226% above the median hospital's median price ($5), higher than 84% 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: 11 payers, 11 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 cigna commercial fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Tricare tricare percent of total billed charges · bothfrom % of charges | $49 | $51 | $3 | 6% | — | $49 – $55 |
| 3 | Humana humana medicare advantage percent of total billed charges · bothfrom % of charges | $50 | $52 | $3 | 6% | — | $50 – $56 |
| 4 | UnitedHealthcare united healthcare medicare adv percent of total billed charges · bothfrom % of charges | $54 | $57 | $3 | 6% | — | $54 – $61 |
| 5 | Ambetter insurance exchange by magnolia percent of total billed charges · bothfrom % of charges | $60 | $63 | $4 | 6% | — | $60 – $68 |
| 6 | WellCare wellcare medicare advantage percent of total billed charges · bothfrom % of charges | $62 | $64 | $4 | 6% | — | $62 – $70 |
| 7 | Devoted devoted health medicare lex percent of total billed charges · bothfrom % of charges | $63 | $66 | $4 | 6% | — | $63 – $71 |
| 8 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $64 | $67 | $4 | 6% | — | $64 – $72 |
| 9 | Aetna aetna fee schedule · both | $68 | $71 | $4 | 6% | — | $68 – $77 |
| 10 | Phcs phcs network percent of total billed charges · bothfrom % of charges | $72 | $75 | $4 | 6% | — | $72 – $81 |
| 11 | Molina molina marketplace percent of total billed charges · bothfrom % of charges | $80 | $83 | $5 | 6% | — | $80 – $90 |
Last updated: Apr 1, 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.