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
Enumclaw, WA
See all hospitals reporting HCPCS J1455 →Price type
Enumclaw Regional Hospital Association’s median price of $1.9k is 3137% 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: 10 payers, 33 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 | Regence commercial|all plans case rate · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 2 | Premera commercial|all plans case rate · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 3 | Aetna commercial|awh fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 4 | Aetna commercial|all other plans fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 5 | UnitedHealthcare commercial|cascade care fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 6 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 7 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 8 | Kaiser commercial|hmo fee schedule · outpatient | $158 | $158 | — | — | — | $158 – $158 |
| 9 | Kaiser commercial|ppo fee schedule · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 10 | Kaiser medicare|all plans fee schedule · outpatient | $1.6k | $1.6k | $352 | 22% | — | $1.2k – $1.9k |
| 11 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $1.6k | $1.6k | $352 | 22% | — | $1.2k – $1.9k |
| 12 | Molina medicaid|all plans fee schedule · outpatient | $1.6k | $1.6k | $354 | 22% | — | $1.2k – $1.9k |
| 13 | Optum medicare|all plans fee schedule · outpatient | $1.6k | $1.6k | $355 | 22% | — | $1.2k – $1.9k |
| 14 | Premera medicare|all plans fee schedule · outpatient | $1.6k | $1.6k | $362 | 22% | — | $1.3k – $2.0k |
| 15 | Regence medicare|all plans fee schedule · outpatient | $1.6k | $1.6k | $362 | 22% | — | $1.3k – $2.0k |
| 16 | Humana medicare|all plans fee schedule · outpatient | $1.7k | $1.7k | $376 | 22% | — | $1.3k – $2.1k |
| 17 | Molina medicare|all plans fee schedule · outpatient | $1.7k | $1.7k | $380 | 22% | — | $1.3k – $2.1k |
| 18 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $1.7k | $1.7k | $380 | 22% | — | $1.3k – $2.1k |
| 19 | Aetna medicare|all plans fee schedule · outpatient | $1.9k | $1.9k | $430 | 22% | — | $1.5k – $2.4k |
| 20 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $2.6k | $2.6k | $580 | 22% | — | $2.0k – $3.2k |
| 21 | Molina medicaid|all plans fee schedule · inpatient | $2.6k | $2.6k | $583 | 22% | — | $2.0k – $3.2k |
| 22 | Molina commercial|marketplace exchange fee schedule · outpatient | $3.0k | $3.0k | $676 | 22% | — | $2.3k – $3.7k |
| 23 | UnitedHealthcare commercial|cascade care fee schedule · inpatient | $3.1k | $3.1k | $704 | 22% | — | $2.4k – $3.9k |
| 24 | UnitedHealthcare commercial|navigate fee schedule · inpatient | $3.2k | $3.2k | $723 | 22% | — | $2.5k – $4.0k |
| 25 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $3.4k | $3.4k | $762 | 22% | — | $2.6k – $4.2k |
Last updated: Feb 28, 2026
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