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 SODIUM 6000 MG/250ML IV SOLN
Falls, MT
See all hospitals reporting HCPCS J1455 →Price type
Benefis Hospitals Inc’s median price of $2.0k is 3247% above the median hospital's median price ($60), higher than 96% of the 1,621 hospitals reporting HCPCS J1455. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 15 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 2 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 3 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · bothfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 4 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 5 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 6 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 7 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 8 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 9 | Cigna bhs hb allegiance percent of total billed charges · bothfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 10 | Healthpartners bhs hb allegiance percent of total billed charges · bothfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 11 | Kaiser bhs hb allegiance percent of total billed charges · bothfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 12 | Medical Mutual bhs hb allegiance percent of total billed charges · bothfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 13 | Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 14 | First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 15 | UnitedHealthcare bhs hb united healthcare percent of total billed charges · bothfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
Last updated: Mar 26, 2026
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