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
$0
Average
$243
Median
$77
High
$4.4k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 265.5× 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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56 hospital rates
iThe hospitals that file a Medicaid 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 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $210 | $204 | $55 | 27% | — | $80 – $252 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $170 | $165 | $44 | 27% | — | $65 – $204 |
| 3 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $80 | $80 | $4 | 5% | — | $76 – $84 |
| 4 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $80 | $80 | $4 | 5% | — | $76 – $84 |
| 5 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 8 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $77 | $77 | $4 | 5% | — | $74 – $81 |
| 9 | FISHERMENS HEALTH, INC MARATHON, FL fee schedule · both | 2 | $77 | $77 | $4 | 5% | — | $74 – $81 |
| 10 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 11 | Geisinger Bloomsburg Hospital Bloomsburg, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Geisinger Jersey Shore Hospital Jersey Shore, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Grossmont Hospital Corporation La Mesa, CA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 19 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 20 | HOMESTEAD HOSPITAL Homestead, FL fee schedule · both | 2 | $77 | $77 | $4 | 5% | — | $74 – $81 |
| 21 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 23 | Laredo Texas Hospital Company LP Laredo, TX facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 24 | MARINERS HOSPITAL TAVERNIER, FL fee schedule · both | 2 | $77 | $77 | $4 | 5% | — | $74 – $81 |
| 25 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 2 | $174 | $174 | $95 | 54% | — | $79 – $269 |
← Payers reporting HCPCS J1455 · Snapshot 20261111T120946Z-9134e7f7