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
$7
Average
$446
Median
$58
High
$2.3k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 96.6× 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.
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18 hospital rates
iThe hospitals that file a Excellus 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 2 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 3 | $60 | $45 | $21 | 46% | — | $16 – $60 |
| 3 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $7 | $7 | — | — | — | $7 – $7 |
| 4 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 5 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 6 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 7 | MVHS, Inc. Utica, NY fee schedule · both | 2 | $360 | $360 | — | — | — | $360 – $360 |
| 8 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 9 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 10 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 2 | $37 | $37 | $23 | 61% | — | $15 – $60 |
| 11 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $40 | $40 | $20 | 52% | — | $19 – $60 |
| 12 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $326 | $326 | — | — | — | $326 – $326 |
| 13 | Saint Francis Hospital and Medical Center Hartford, CT facility · other · both | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 14 | The Unity Hospital of Rochester Rochester, NY facility · fee schedule · outpatient | 3 | $60 | $47 | $19 | 41% | — | $20 – $60 |
| 15 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 2 | $46 | $46 | $14 | 30% | — | $33 – $60 |
| 16 | University of Vermont Medical Center Inc Colchester, VT facility · percent of total billed charges · inpatientfrom % of charges | 2 | $12 | $12 | $3 | 28% | — | $9 – $15 |
| 17 | University of Vermont Medical Center Inc Colchester, VT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $9 | $11 | $5 | 51% | — | $5 – $18 |
| 18 | Upstate University Hospital Syracuse, NY facility · fee schedule · outpatient | 3 | $84 | $69 | $22 | 32% | — | $38 – $85 |
← Payers reporting HCPCS J1455 · Snapshot 20261111T120946Z-9134e7f7