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 24 mg/mL solution 250 mL Bottle
Boulder, CO
See all hospitals reporting HCPCS J1455 →Price type
Boulder Community Health’s median price of $524 is 773% above the median hospital's median price ($60), higher than 82% 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: 9 payers, 27 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare medicare advantage professional · fee schedule · both | $7 | $7 | — | — | — | $7 – $7 |
| 2 | Anthem commercial professional · fee schedule · both | $8 | $8 | — | — | — | $8 – $8 |
| 3 | Anthem managed care professional · fee schedule · both | $8 | $8 | — | — | — | $8 – $8 |
| 4 | Cigna commercial professional · fee schedule · both | $8 | $8 | — | — | — | $8 – $8 |
| 5 | Humana medicare advantage professional · fee schedule · both | $8 | $8 | — | — | — | $8 – $8 |
| 6 | UnitedHealthcare commercial professional · fee schedule · both | $16 | $16 | — | — | — | $16 – $16 |
| 7 | Aetna medicare advantage professional · fee schedule · both | $17 | $17 | — | — | — | $17 – $17 |
| 8 | Cigna commercial facility · fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 9 | Aetna commercial professional · fee schedule · both | $24 | $24 | $7 | 31% | — | $17 – $31 |
| 10 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $326 | $326 | — | — | — | $326 – $326 |
| 11 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $333 | $333 | $23 | 7% | — | $310 – $357 |
| 12 | Kaiser managed care facility · percent of total billed charges · outpatientfrom % of charges | $354 | $354 | — | — | — | $354 – $354 |
| 13 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $474 | $474 | — | — | — | $474 – $474 |
| 14 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $475 | $475 | — | — | — | $475 – $475 |
| 15 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $436 | $505 | $153 | 30% | — | $349 – $843 |
| 16 | Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges | $544 | $544 | — | — | — | $544 – $544 |
| 17 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $566 | $566 | — | — | — | $566 – $566 |
| 18 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $566 | $566 | — | — | — | $566 – $566 |
| 19 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $404 | $616 | $367 | 60% | — | $312 – $1.1k |
| 20 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $703 | $703 | $213 | 30% | — | $490 – $916 |
| 21 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $816 | $816 | — | — | — | $816 – $816 |
| 22 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $861 | $861 | $372 | 43% | — | $490 – $1.2k |
| 23 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $978 | $978 | — | — | — | $978 – $978 |
| 24 | Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges | $978 | $978 | — | — | — | $978 – $978 |
| 25 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $991 | $991 | — | — | — | $991 – $991 |
Last updated: Sep 16, 2026
See Foscarnet sodium injection, per 1000 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.