ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [4235]
Intravenous infusion of acyclovir, an antiviral medicine.
AI Summary
HCPCS J0133
Idaho
22 providers foundTypical Cash Price
$40
State median based on cash prices from 22 hospitals.
Middle 50% of hospitals charge between $27 and $61.
Prices are estimates for the facility portion only, based on hospital “standard charge” files. They usually exclude doctor fees, anesthesia, and radiologist interpretation. Always confirm with the hospital.
Hospital Prices
Prices vary by location. Select a hospital below for details.
Kootenai Health
Coeur d'Alene, ID
Cash price
$1.31
Extreme low
Shoshone Medical Center
Kellogg, ID
Cash price
$1.6
Extreme low
Saint Alphonsus Medical Center Nampa
Nampa, ID
Cash price
$21
Boundary Community Hospital
Bonners Ferry, ID
Cash price
$23
Weiser Memorial Hospital
Weiser, ID
Cash price
$25
Caribou Medical Center Inc
Soda Springs, ID
Cash price
$26
St Lukes Magic Valley Regional Medical Center Ltd
Twin Falls, ID
Cash price
$31
St Lukes Nampa Medical Center Ltd
Nampa, ID
Cash price
$31
St Lukes Regional Medical Center Ltd
Boise, ID
Cash price
$31
St Lukes Wood River Medical Center Ltd
Ketchum, ID
Cash price
$31
Syringa Hospital & Clinics
Grangeville, ID
Cash price
$36
Saint Alphonsus Regional Medical Center Boise
Boise, ID
Cash price
$43
Portneuf Medical Center
Pocatello, ID
Cash price
$47
Bonner General Health
Sandpoint, ID
Cash price
$49
St Lukes Mccall Ltd
McCall, ID
Cash price
$52
Bear Lake County Memorial Hospital
Montpelier, ID
Cash price
$60
Cassia Regional Hospital
Burley, ID
Cash price
$62
Bingham Memorial Hospital
Blackfoot, ID
Cash price
$76
Teton Valley Health Care
Driggs, ID
Cash price
$88
Grove Creek Medical Center
Blackfoot, ID
Cash price
$102
Eastern Idaho Regional Medical Center
Idaho Falls, ID
Cash price
$137
High outlier
West Valley Medical Center
Caldwell, ID
Cash price
$239
High outlier
Prices on this page come from machine-readable “standard charge” files published by hospitals. They are estimates for the facility portion of care only and may not include doctor fees, anesthesia, imaging interpretation, or lab work. Always contact the hospital directly and ask for a written Good Faith Estimate before scheduling care.