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
$207
Median
$26
High
$2.3k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
76 hospitals; the 90th percentile is 63.7× 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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100 hospital rates
iThe hospitals that file a Highmark 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $27 | $27 | $1 | 2% | — | $25 – $27 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 19 | $27 | $24 | $7 | 28% | — | $10 – $34 |
| 3 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 4 | Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 5 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 3 | $27 | $27 | $8 | 31% | — | $16 – $38 |
| 6 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $347 | $347 | — | — | — | $347 – $347 |
| 7 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $27 | $27 | $1 | 2% | — | $25 – $27 |
| 8 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 19 | $27 | $23 | $6 | 27% | — | $10 – $33 |
| 9 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 10 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 4 | $800 | $671 | $256 | 38% | — | $233 – $850 |
| 11 | Children's Hospital of Philadelphia, The Philadelphia, PA fee schedule · both | 1 | $32 | $44 | $31 | 70% | — | $16 – $96 |
| 12 | Children's Hospital of Philadelphia, The Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $363 | $587 | $572 | 97% | — | $68 – $1.6k |
| 13 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 2 | $21 | $24 | $8 | 35% | — | $16 – $36 |
| 14 | Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $630 | $630 | — | — | — | $630 – $630 |
| 15 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 16 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · both | 7 | $8 | $146 | $184 | 126% | — | $7 – $527 |
| 17 | Fox Chase Cancer Center Philadelphia, PA facility · fee schedule · outpatient | 2 | $18 | $18 | $2 | 9% | — | $16 – $19 |
| 18 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 3 | $317 | $317 | $52 | 16% | — | $262 – $373 |
| 19 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient | 11 | $27 | $27 | $1 | 2% | — | $25 – $27 |
| 20 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 19 | $27 | $25 | $8 | 31% | — | $13 – $37 |
| 21 | Greenbrier Valley Medical Center Ronceverte, WV percent of total billed charges · bothfrom % of charges | 4 | $812 | $656 | $301 | 46% | — | $140 – $862 |
| 22 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 23 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 24 | 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 |
| 25 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · inpatient | 11 | $27 | $27 | $1 | 2% | — | $25 – $27 |
← Payers reporting HCPCS J1455 · Snapshot 20261111T120946Z-9134e7f7