Foscarnet sodium injection, per 1000 mg

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

FOSCARNET IV SYRINGE 24 MG/ML (NEO/PED) (CENTRAL LINE ONLY)

Cigna Healthspring pricing summary

Low

Average

$77

Median

$17

High

$915

Cigna Healthspring rate distribution

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43 hospital rates

#		Plans
1	Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient	1	$17	$17	—	—	—	$17 – $17
2	Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient	1	$17	$17	—	—	—	$17 – $17
3	Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient	1	$17	$17	—	—	—	$17 – $17
4	CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX case rate · outpatient	2	$22	$22	$0	1%	—	$22 – $22
5	Carolinas Medical Center Charlotte, NC fee schedule · outpatient	1	$17	$17	—	—	—	$17 – $17
6	Carolinas Medical Center Charlotte, NC fee schedule · outpatient	1	$17	$17	—	—	—	$17 – $17
7	Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges	1	$271	$240	$128	53%	—	$9 – $460
8	Carolinas Medical Center Charlotte, NC fee schedule · outpatient	1	$17	$17	—	—	—	$17 – $17
9	Columbus Regional Healthcare System, Inc Whiteville, NC fee schedule · outpatient	1	$17	$17	—	—	—	$17 – $17
10	Jefferson Health - Northeast Langhorne, PA facility · fee schedule · inpatient	1	$7	$7	—	—	—	$7 – $7
11	Jefferson Health - Northeast Langhorne, PA facility · fee schedule · outpatient	1	$7	$7	—	—	—	$7 – $7
12	Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · inpatient	1	$7	$7	—	—	—	$7 – $7
13	Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient	1	$7	$7	—	—	—	$7 – $7
14	Kennedy University Hospital, Inc Turnersville, NJ facility · fee schedule · inpatient	1	$7	$7	—	—	—	$7 – $7
15	Kennedy University Hospital, Inc Turnersville, NJ facility · fee schedule · outpatient	1	$7	$7	—	—	—	$7 – $7
16	Kennedy University Hospital, Inc Cherry Hill, NJ facility · fee schedule · inpatient	1	$7	$7	—	—	—	$7 – $7
17	Kennedy University Hospital, Inc Cherry Hill, NJ facility · fee schedule · outpatient	1	$7	$7	—	—	—	$7 – $7
18	Lansdale Hospital Corp Lansdale, PA facility · fee schedule · inpatient	1	$7	$7	—	—	—	$7 – $7
19	Laredo Texas Hospital Company LP Laredo, TX facility · per diem · outpatient	1	$10	$10	—	—	—	$10 – $10
20	Magee Rehabilitation Hospital Philadelphia, PA facility · fee schedule · inpatient	1	$7	$7	—	—	—	$7 – $7
21	Magee Rehabilitation Hospital Philadelphia, PA facility · fee schedule · outpatient	1	$7	$7	—	—	—	$7 – $7
22	MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges	1	$103	$103	$3	2%	—	$100 – $105
23	MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges	1	$296	$296	$7	2%	—	$289 – $303
24	MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges	1	$243	$243	$6	2%	—	$237 – $249
25	MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges	1	$134	$134	$3	2%	—	$131 – $138