Foscarnet sodium injection, per 1000 mg at Dignity Community Care

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

FOSCAR NA 24MG/ML250MJWTB

Glendale, CA

See all hospitals reporting HCPCS J1455 →

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Pricing by billing methodology

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How this price compares nationally

Dignity Community Care’s median price of $70 is 17% above the median hospital's median price ($60), higher than 54% of the 1,616 hospitals reporting HCPCS J1455. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1455 at Dignity Community Care

Negotiated rates from the hospital’s own file: 10 payers, 31 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	Humana commercial\|all plans fee schedule · outpatient	$20	$20	—	—	—	$20 – $20
2	UnitedHealthcare medicare\|all plans case rate · outpatient	$20	$20	—	—	—	$20 – $20
3	Anthem medicare\|alhambra senior fee schedule · outpatient	$23	$23	—	—	—	$23 – $23
4	Anthem commercial\|alhambra fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
5	Anthem commercial\|hcla fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
6	Molina medicaid\|all plans fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
7	Kaiser medicaid\|< 21 fee schedule · outpatient	$32	$32	—	—	—	$32 – $32
8	Kaiser medicaid\|> 21 fee schedule · outpatient	$32	$32	—	—	—	$32 – $32
9	Aetna commercial\|all other plans fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
10	Aetna commercial\|hmo fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
11	Aetna commercial\|ppo fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
12	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$63	$63	—	—	—	$63 – $63
13	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$63	$63	—	—	—	$63 – $63
14	UnitedHealthcare commercial\|ppo fee schedule · outpatient	$63	$63	—	—	—	$63 – $63
15	Blue Cross Blue Shield commercial\|all other plans fee schedule · outpatient	$79	$79	—	—	—	$79 – $79
16	Blue Cross Blue Shield commercial\|exchange fee schedule · outpatient	$79	$79	—	—	—	$79 – $79
17	Anthem medicaid\|all plans fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
18	UnitedHealthcare commercial\|navigate fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
19	Anthem commercial\|mcs fee schedule · outpatient	$561	$561	—	—	—	$561 – $561
20	Anthem commercial\|non-mcs fee schedule · outpatient	$561	$561	—	—	—	$561 – $561
21	Anthem medicaid\|all plans fee schedule · inpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
22	Cigna commercial\|all other plans fee schedule · outpatient	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k
23	Cigna commercial\|ppo fee schedule · outpatient	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k
24	Kaiser commercial\|all plans fee schedule · inpatient	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
25	Kaiser commercial\|all plans fee schedule · outpatient	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k

Page 1 of 2 · 31 rates

Last updated: Feb 28, 2026

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