ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [4235]
Intravenous infusion of acyclovir, an antiviral medicine.
AI Summary
HCPCS J0133
Wyoming
14 providers foundTypical Cash Price
$40
State median based on cash prices from 14 hospitals.
Middle 50% of hospitals charge between $8 and $66.
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.
Wyoming Medical Center
Casper, WY
Cash price
$4.4
Extreme low
SageWest Health Care
Lander, WY
Cash price
$4.69
Extreme low
Community Hospital
Torrington, WY
Cash price
$7.71
Extreme low
Platte County Hospital
Wheatland, WY
Cash price
$7.81
Extreme low
Washakie Medical Center
Worland, WY
Cash price
$7.92
Extreme low
Star Valley Health
Afton, WY
Cash price
$13
Low outlier
Powell Valley Healthcare
Powell, WY
Cash price
$28
Johnson County Healthcare Center
Buffalo, WY
Cash price
$53
West Park Hospital
Cody, WY
Cash price
$56
Sheridan Memorial Hospital
Sheridan, WY
Cash price
$63
Memorial Hospital of Laramie County
Cheyenne, WY
Cash price
$67
St John's Health
Jackson, WY
Cash price
$71
Memorial Hospital of Sweetwater County
Rock Springs, WY
Cash price
$81
Ivinson Memorial Hospital
Laramie, WY
Cash price
$122
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.