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 IV SOLN
Monroe, LA
See all hospitals reporting HCPCS J1455 →Price type
Brfhh Monroe, Llc’s median price of $172 is 187% above the median hospital's median price ($60), higher than 68% of the 1,615 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: 10 payers, 17 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 | Aetna all payor fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Humana all payor fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 3 | Optum all payor fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 4 | UnitedHealthcare all payor fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 5 | Bcbs La all payor fee schedule · outpatient | $68 | $58 | $21 | 37% | — | $16 – $68 |
| 6 | Humana all payor other · outpatient | $146 | $146 | $131 | 90% | — | $15 – $276 |
| 7 | Aetna Better Health all payor other · outpatient | $276 | $276 | — | — | — | $276 – $276 |
| 8 | Amerihealth Caritas all payor other · outpatient | $276 | $276 | — | — | — | $276 – $276 |
| 9 | UnitedHealthcare all payor other · outpatient | $276 | $276 | — | — | — | $276 – $276 |
| 10 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $553 | $553 | $52 | 9% | — | $501 – $605 |
| 11 | Cigna all payor other · outpatient | $739 | $739 | — | — | — | $739 – $739 |
| 12 | Cigna all payor other · inpatient | $864 | $864 | — | — | — | $864 – $864 |
| 13 | Aetna all payor other · inpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | First Health all payor other · inpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | Aetna all payor other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | First Health all payor other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | MultiPlan all payor other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Apr 1, 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.