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 INTRAVENOUS SOLUTION
Clovis, CA
See all hospitals reporting HCPCS J1455 →Price type
Clovis Community Medical Center’s median price of $111 is 85% above the median hospital's median price ($60), higher than 62% of the 1,616 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, 20 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 hmoppo facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 2 | Blue Cross Blue Shield epn facility · fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 3 | Blue Cross Blue Shield managed medi-cal facility · fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 4 | Molina managed medi-cal facility · fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 5 | Blue Cross Blue Shield epoppo facility · fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 6 | Blue Cross Blue Shield hmopos facility · fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 7 | Aetna medicare hmo for chp facility · fee schedule · outpatient | $1.9k | $1.9k | $248 | 13% | — | $1.6k – $2.1k |
| 8 | Aetna medicare hmo for non-chp facility · fee schedule · outpatient | $1.9k | $1.9k | $248 | 13% | — | $1.6k – $2.1k |
| 9 | Aetna ppo facility · fee schedule · outpatient | $1.9k | $1.9k | $248 | 13% | — | $1.6k – $2.1k |
| 10 | Aetna hmoposppo facility · fee schedule · outpatient | $2.1k | $2.1k | $283 | 13% | — | $1.8k – $2.4k |
| 11 | Aetna qualified health plan facility · fee schedule · outpatient | $2.2k | $2.2k | $287 | 13% | — | $1.9k – $2.4k |
| 12 | UnitedHealthcare hmo facility · fee schedule · outpatient | $2.4k | $2.4k | $325 | 13% | — | $2.1k – $2.8k |
| 13 | UnitedHealthcare ppo facility · fee schedule · outpatient | $2.4k | $2.4k | $325 | 13% | — | $2.1k – $2.8k |
| 14 | Cigna hmo facility · fee schedule · outpatient | $2.6k | $2.6k | $344 | 13% | — | $2.2k – $2.9k |
| 15 | Cigna ppo facility · fee schedule · outpatient | $2.6k | $2.6k | $344 | 13% | — | $2.2k – $2.9k |
| 16 | Kaiser commercial facility · fee schedule · outpatient | $2.8k | $2.8k | $372 | 13% | — | $2.4k – $3.2k |
| 17 | Blue Cross Blue Shield exchange hmo facility · fee schedule · outpatient | $3.0k | $3.0k | $394 | 13% | — | $2.6k – $3.4k |
| 18 | MultiPlan ppo facility · fee schedule · outpatient | $3.5k | $3.5k | $465 | 13% | — | $3.0k – $4.0k |
| 19 | Phcs commercial facility · fee schedule · outpatient | $3.5k | $3.5k | $465 | 13% | — | $3.0k – $4.0k |
| 20 | Humana choice care ppo facility · fee schedule · outpatient | $4.0k | $4.0k | $527 | 13% | — | $3.4k – $4.5k |
Last updated: Sep 11, 2026
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