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 IV SOLN
New Richmond, WI
See all hospitals reporting HCPCS J0133 →Price type
Westfields Hospital’s median price of $41 is 722% above the median hospital's median price ($5), higher than 75% 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: 5 payers, 8 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 | Ucare ucare pmap [50283] facility · percent of total billed charges · bothfrom % of charges | $39 | $39 | — | — | — | $39 – $39 |
| 2 | Blue Cross Blue Shield bcbs medicare advantage [50299] facility · percent of total billed charges · bothfrom % of charges | $40 | $40 | — | — | — | $40 – $40 |
| 3 | UnitedHealthcare uhc medicare advantage ppo [50275] facility · percent of total billed charges · bothfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 4 | Blue Cross Blue Shield bcbs pmap [95296] facility · percent of total billed charges · bothfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 5 | Medica medica government advantage [50316] facility · percent of total billed charges · bothfrom % of charges | $42 | $42 | — | — | — | $42 – $42 |
| 6 | Medica medica choice [90156] facility · percent of total billed charges · bothfrom % of charges | $79 | $79 | — | — | — | $79 – $79 |
| 7 | First Health first health network [95334] facility · percent of total billed charges · bothfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 8 | UnitedHealthcare uhc [50131] facility · percent of total billed charges · bothfrom % of charges | $86 | $86 | — | — | — | $86 – $86 |
Last updated: Mar 31, 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.