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.
Original text from hospital filings
FOSCARNET IV SYRINGE 24 MG/ML (NEO/PED) (CENTRAL LINE ONLY)
Low
$5
Average
$319
Median
$176
High
$2.2k
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
76 hospitals; the 90th percentile is 37.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
86 hospital rates
iThe hospitals that file a Amerihealth Caritas rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $183 | $183 | $131 | 71% | — | $52 – $314 |
| 2 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $201 | $178 | $95 | 53% | — | $6 – $341 |
| 3 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $161 | $143 | $76 | 53% | — | $5 – $273 |
| 4 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $213 | $189 | $101 | 53% | — | $7 – $362 |
| 5 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $174 | $174 | $124 | 71% | — | $50 – $298 |
| 6 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $276 | $276 | — | — | — | $276 – $276 |
| 7 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 8 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 9 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $287 | $287 | $205 | 71% | — | $82 – $492 |
| 10 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $311 | $276 | $147 | 53% | — | $10 – $528 |
| 11 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $311 | $276 | $147 | 53% | — | $10 – $528 |
| 12 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $311 | $276 | $147 | 53% | — | $10 – $528 |
| 13 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $311 | $276 | $147 | 53% | — | $10 – $528 |
| 14 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 15 | HIGHLANDS-CASHIERS HOSPITAL Highlands, NC percent of total billed charges · outpatientfrom % of charges | 1 | $179 | $179 | $128 | 71% | — | $51 – $306 |
| 16 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $576 | $576 | — | — | — | $576 – $576 |
| 17 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $576 | $576 | — | — | — | $576 – $576 |
| 18 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $576 | $576 | — | — | — | $576 – $576 |
| 19 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $576 | $576 | — | — | — | $576 – $576 |
| 20 | Henry Ford Health System West Bloomfield, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $434 | $318 | $262 | 82% | — | $3 – $578 |
| 21 | Henry Ford Health System Plymouth, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $434 | $318 | $262 | 82% | — | $3 – $578 |
| 22 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $434 | $318 | $262 | 82% | — | $3 – $578 |
| 23 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $434 | $318 | $262 | 82% | — | $3 – $578 |
| 24 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 25 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
← Payers reporting HCPCS J1455 · Snapshot 20261111T120946Z-9134e7f7