What does code J0133 cost?

Across the published hospital price files, the disclosed cash price for J0133 ranges from $0.43 to $239. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

J0133 is the billing code hospitals use to identify "ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

J0133

HCPCS

ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code J0133 (ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION) appears at 53 hospitals with disclosed cash prices from $0.43 to $239. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare J0133 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code J0133 vary by about 555× across the 51 hospitals with disclosed prices here — from $0.43 to $239. Shopping around can matter.

Hospitals

Prices shown

$0.43

Lowest cash

$239

Highest cash

code J0133 cash price59 disclosed · 51 hospitals

$0.43median ~$51.44$239

Lowest cash price by hospital

Endeavor Health Edward Hospital$0.43
Advocate Christ Medical Center$0.65
Advocate Lutheran General Hospital$0.91
Northwestern Memorial Hospital$15.92
Northwestern Medicine Lake Forest Hospital$15.92
Atrium Health Cleveland$22.70

Cash price by city

Reflects your current filters.

Cash price by city$0.43 – $25.00

Naperville · 1 hospital$0.43
Oak Lawn · 1 hospital$0.65
Park Ridge · 1 hospital$0.91
Chicago · 1 hospital$15.92
Lake Forest · 1 hospital$15.92
Kings Mountain · 1 hospital$22.70–$25.00

66 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION Inpatient	Carle Foundation Hospital	J0133 HCPCS	$107	$107	$0.06 – $70.92	—
Acyclovir: 10 Vial, Single-Dose In 1 Tray (63323-325-14) / 10 Ml In 1 Vial, Single-Dose (63323-325-41) Inpatient & outpatient	Endeavor Health Edward Hospital	J0133 HCPCS	$0.43	$0.43	—	—
Acyclovir: 10 Vial, Single-Dose In 1 Tray (63323-325-24) / 20 Ml In 1 Vial, Single-Dose (63323-325-43) Inpatient & outpatient	Endeavor Health Edward Hospital	J0133 HCPCS	$0.43	$0.43	—	—
Acyclovir injection Outpatient	Endeavor Health Edward Hospital	J0133 HCPCS	—	—	$1.10 – $1.10	—
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION Inpatient	Methodist Medical Center of Illinois	J0133 HCPCS	$107	$107	$0.06 – $70.92	—
ACYCLOVIR SODIUM 50 MG-ML IV SOLN Inpatient	Advocate Christ Medical Center	J0133 HCPCS	$1.29	$0.65	$0.56 – $1.03	—
ACYCLOVIR SODIUM 50 MG/ML IV SOLN Outpatient	Northwestern Memorial Hospital	J0133 HCPCS	$22.75	$15.92	$3.74 – $124	—
NDC Description Not Available Inpatient & outpatient	University of Chicago Medical Center	J0133 HCPCS	—	—	—	—
Acyclovir Sodium: 10 Vial, Single-Dose In 1 Carton (55150-154-10) / 10 Ml In 1 Vial, Single-Dose Inpatient & outpatient	University of Chicago Medical Center	J0133 HCPCS	—	—	—	—
Acyclovir Sodium: 10 Vial, Single-Dose In 1 Carton (55150-155-20) / 20 Ml In 1 Vial, Single-Dose Inpatient & outpatient	University of Chicago Medical Center	J0133 HCPCS	—	—	—	—
Acyclovir: 10 Vial, Single-Dose In 1 Tray (63323-325-10) / 10 Ml In 1 Vial, Single-Dose (63323-325-03) Inpatient & outpatient	University of Chicago Medical Center	J0133 HCPCS	—	—	—	—
Acyclovir injection Outpatient	University of Chicago Medical Center	J0133 HCPCS	—	—	—	—
ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION Inpatient	Carle BroMenn Medical Center	J0133 HCPCS	$107	$107	$0.06 – $70.92	—
ACYCLOVIR SODIUM 50 MG-ML IV SOLN Inpatient	Advocate Lutheran General Hospital	J0133 HCPCS	$1.81	$0.91	$0.79 – $1.45	—
ACYCLOVIR SODIUM 50 MG/ML IV SOLN Outpatient	Northwestern Medicine Lake Forest Hospital	J0133 HCPCS	$22.75	$15.92	$3.78 – $22.75	—
ACYCLOVIR SODIUM 50 MG/ML IV SOLN Outpatient	Northwestern Medicine Central DuPage Hospital	J0133 HCPCS	$124	$86.80	$17.73 – $124	—
ACYCLOVIR SODIUM 50 MG/ML IV SOLN Inpatient	Deaconess Gateway Hospital	J0133 HCPCS	$171	$56.27	$56.27 – $150	—
acyclovir 50 mg/mL Solution 20 mL Vial Outpatient	Froedtert Menomonee Falls Hospital	J0133 HCPCS	$167	$91.85	$0.04 – $150	—
acyclovir 50 mg/mL Solution 10 mL Vial Inpatient	Froedtert West Bend Hospital	J0133 HCPCS	$152	$83.38	$75.80 – $144	—
acyclovir 50 mg/mL Solution 10 mL Vial Inpatient	Froedtert Holy Family Memorial Hospital	J0133 HCPCS	$152	$83.38	$75.80 – $133	—
acyclovir 50 mg/mL Solution 20 mL Vial Inpatient	Froedtert Community Hospital - Mequon	J0133 HCPCS	$167	$91.85	$100 – $147	—
acyclovir 50 mg/mL Solution 20 mL Vial Outpatient	Froedtert Community Hospital - New Berlin	J0133 HCPCS	$167	$91.85	$66.80 – $147	—
ACYCLOVIR SODIUM 50 MG/ML IV SOLN Inpatient	Henderson Hospital	J0133 HCPCS	$90.50	$27.15	$26.25 – $87.79	—
ACYCLOVIR SODIUM 50 MG/ML IV SOLN Inpatient	Deaconess Gibson Hospital	J0133 HCPCS	$99.00	$52.47	$52.47 – $89.10	—
ACYCLOVIR SODIUM 50 MG/ML IV SOLN Outpatient	The Women's Hospital	J0133 HCPCS	$94.00	$55.46	$0.03 – $79.90	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish J0133 prices

Open a hospital to see this code in the context of its full published prices.

Carle Foundation Hospital Endeavor Health Edward Hospital Methodist Medical Center of Illinois Advocate Christ Medical Center Northwestern Memorial Hospital University of Chicago Medical Center Carle BroMenn Medical Center Advocate Lutheran General Hospital Northwestern Medicine Lake Forest Hospital Northwestern Medicine Central DuPage Hospital Deaconess Gateway Hospital Froedtert Menomonee Falls Hospital Froedtert West Bend Hospital Froedtert Holy Family Memorial Hospital Froedtert Community Hospital - Mequon Froedtert Community Hospital - New Berlin Henderson Hospital Deaconess Gibson Hospital The Women's Hospital Deaconess Illinois Medical Center Allen County Regional Hospital Saint Luke's East Hospital Stanford Health Care Tri-Valley Texas Health Presbyterian Hospital Allen Texas Health Harris Methodist Hospital Alliance Providence Seward Hospital Providence Valdez Medical Center St Elias Specialty Hospital Healdsburg Hospital Texas Health Arlington Memorial Hospital Texas Health Harris Methodist Hospital Azle Texas Health Harris Methodist Hospital Cleburne Texas Health Presbyterian Hospital Dallas Texas Health Presbyterian Hospital Denton Texas Health Presbyterian Hospital Flower Mound Texas Health Harris Methodist Hospital Fort Worth Texas Health Hospital Frisco Texas Health Heart & Vascular Hospital Arlington Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Texas Health Presbyterian Hospital Kaufman Texas Health Presbyterian Hospital Plano Texas Health Hospital Rockwall Texas Health Harris Methodist Hospital Southlake Texas Health Harris Methodist Hospital Southwest Fort Worth Texas Health Specialty Hospital Fort Worth Texas Health Springwood Hospital Hurst-Euless-Bedford Texas Health Harris Methodist Hospital Stephenville CHRISTUS Louisiana Surgical Hospital Atrium Health Anson Atrium Health Cabarrus Atrium Health Cleveland Atrium Health Pineville Atrium Health Stanly

Code J0133: frequently asked

What does code J0133 cost?: Across the published hospital price files, the disclosed cash price for J0133 ranges from $0.43 to $239. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code J0133?: J0133 is the billing code hospitals use to identify "ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data