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
$466
Median
$72
High
$5.3k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
111 hospitals; the 90th percentile is 91.9× 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
174 hospital rates
iThe hospitals that file a Optum 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 | Boston Children's Hospital Boston, MA case rate · both | 1 | $10 | $10 | — | — | 110 | $10 – $10 |
| 2 | University of Arkansas for Medical Sciences Little Rock, AR facility · other · outpatient | 1 | $109 | $109 | — | — | 1–10 | $109 – $109 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | $1 | 17% | — | $3 – $4 |
| 6 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 7 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $39 | $39 | $22 | 58% | — | $16 – $61 |
| 8 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $16 | $16 | $0 | 1% | — | $16 – $16 |
| 9 | BRFHH MONROE, LLC Monroe, LA fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 10 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 11 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 12 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $5.7k | $5.3k | $557 | 10% | — | $4.5k – $5.8k |
| 13 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 3 | $674 | $823 | $365 | 44% | — | $438 – $1.4k |
| 14 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 3 | $674 | $823 | $365 | 44% | — | $438 – $1.4k |
| 15 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 3 | $674 | $823 | $365 | 44% | — | $438 – $1.4k |
| 16 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 3 | $674 | $823 | $365 | 44% | — | $438 – $1.4k |
| 17 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 3 | $674 | $823 | $365 | 44% | — | $438 – $1.4k |
| 18 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 3 | $674 | $823 | $365 | 44% | — | $438 – $1.4k |
| 19 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 3 | $674 | $823 | $365 | 44% | — | $438 – $1.4k |
| 20 | Boston Children's Hospital Needham, MA percent of total billed charges · bothfrom % of charges | 3 | $674 | $823 | $365 | 44% | — | $438 – $1.4k |
| 21 | Boston Children's Hospital Weymouth, MA percent of total billed charges · bothfrom % of charges | 3 | $674 | $823 | $365 | 44% | — | $438 – $1.4k |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 23 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 3 | $468 | $629 | $315 | 50% | — | $349 – $1.1k |
| 24 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient | 2 | $50 | $50 | — | — | — | $50 – $50 |
| 25 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | $1 | 17% | — | $3 – $4 |
← Payers reporting HCPCS J1455 · Snapshot 20261111T120946Z-9134e7f7