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Every billing code / HCPCS J0133 / Cascade Medical Center

HCPCS J0133 at Cascade Medical Center

Injection, acyclovir, 5 mg

Cascade Medical Center, Leavenworth

Description from CMS's HCPCS Level II code file.

What Cascade Medical Center publishes for this code: during a hospital stay

Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$30.00 – $35.112 plans—
Medicare AdvantageInsurer rates$31.28 – $46.827 plans—
Medicaid managed careInsurer rates$31.15 – $46.824 plans—
Medicaid (state program)Insurer rates$29.911 plan—
Medicare (traditional)Insurer rates$32.381 plan—
Other government programInsurer rates$15.00 – $49.952 plans—
UnknownInsurer rates$30.00 – $50.406 plans—
Cash pricePaying yourself, without insurance$44.80—
List priceBefore any discount; few people pay it$56.00—

Lowest and highest amounts Cascade Medical Center lists for this code during a hospital stay, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

BillWhat it’s forOriginal Medicare allowsPrivate plan estimate
Hospital's feeThe hospitalThe drug, per billing unit—The price above

Drug prices are per billing unit (the unit is in the code's name, such as "per 10 mg"). Your dose decides how many units you're billed, so the total depends on your prescription, and giving the drug may be billed separately.

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS J0133 at every Washington hospital, with Medicare’s reference amounts.