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
Inj foscarb/foslevodopa 5 mg
Low
$1
Average
$61
Median
$1
High
$724
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
87 hospitals; the 90th percentile is 135.1× 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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91 hospital rates
iThe hospitals that file a Aetna 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $1 | $1 | $0 | 28% | — | $1 – $1 |
| 3 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 2 | $1 | $1 | $0 | 11% | — | $1 – $1 |
| 4 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 2 | $1 | $1 | $0 | 11% | — | $1 – $1 |
| 5 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 2 | $1 | $1 | $0 | 11% | — | $1 – $1 |
| 6 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 2 | $1 | $1 | $0 | 11% | — | $1 – $1 |
| 7 | AdventHealth Porter Denver, CO fee schedule · outpatient | 2 | $1 | $1 | $0 | 11% | — | $1 – $1 |
| 8 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $2 | $2 | — | — | — | $2 – $2 |
| 9 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $2 | $2 | $0 | 4% | — | $2 – $2 |
| 10 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $1 | $1 | $0 | 28% | — | $1 – $1 |
| 11 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $1 | $1 | $0 | 32% | — | $1 – $1 |
| 12 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient | 2 | $1 | $1 | $0 | 13% | — | $1 – $2 |
| 14 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · fee schedule · outpatient | 2 | $1 | $1 | $0 | 13% | — | $1 – $2 |
| 16 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · fee schedule · outpatient | 2 | $1 | $1 | $0 | 13% | — | $1 – $2 |
| 17 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $724 | $724 | — | — | — | $724 – $724 |
| 18 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 20 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 21 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 3 | $1 | $1 | $1 | 48% | — | $1 – $2 |
| 22 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $2 | $2 | $0 | 4% | — | $2 – $2 |
| 23 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 2 | $1 | $1 | $0 | 16% | — | $1 – $1 |
| 24 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $649 | $649 | — | — | — | $649 – $649 |
← Payers reporting HCPCS J7356 · Snapshot 20261113T090226Z-3ce6c0b8