Acyclovir intravenous antiviral solution at Windom Area Hospital

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

Windom, MN

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Pricing by billing methodology

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How this price compares nationally

Windom Area Hospital’s median price of $34 is 594% above the median hospital's median price ($5), higher than 72% of the 2,198 hospitals reporting HCPCS J0133. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0133 at Windom Area Hospital

Negotiated rates from the hospital’s own file: 9 payers, 20 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	Bcbs Mn pmap facility · percent of total billed charges · inpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
2	Bcbs Mn pmap facility · percent of total billed charges · outpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
3	Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · inpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
4	Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
5	Aetna medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$30	$30	—	—	—	$30 – $30
6	Blue Cross Blue Shield medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$30	$30	—	—	—	$30 – $30
7	Humana medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$30	$30	—	—	—	$30 – $30
8	Medica medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$30	$30	—	—	—	$30 – $30
9	Ucare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$30	$30	—	—	—	$30 – $30
10	UnitedHealthcare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$30	$30	—	—	—	$30 – $30
11	Medica pmap facility · percent of total billed charges · inpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
12	Medica pmap facility · percent of total billed charges · outpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
13	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
14	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
15	Bcbs Mn commercial facility · percent of total billed charges · outpatientfrom % of charges	$57	$57	—	—	—	$57 – $57
16	Bcbs Nd commercial facility · percent of total billed charges · outpatientfrom % of charges	$57	$57	—	—	—	$57 – $57
17	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$57	$57	—	—	—	$57 – $57
18	Wellmark commercial facility · percent of total billed charges · outpatientfrom % of charges	$57	$57	—	—	—	$57 – $57
19	Medica commercial facility · percent of total billed charges · inpatientfrom % of charges	$63	$63	—	—	—	$63 – $63
20	Medica commercial facility · percent of total billed charges · outpatientfrom % of charges	$63	$63	—	—	—	$63 – $63

Last updated: Feb 3, 2026

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