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 [10093]
Oakland, MD
See all hospitals reporting HCPCS J1455 →Price type
GRMC, Inc.’s median price of $320 is 433% above the median hospital's median price ($60), higher than 76% 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: 10 payers, 18 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 | Caresource all plans percent of total billed charges · bothfrom % of charges | $306 | $306 | $50 | 16% | — | $256 – $356 |
| 2 | Highmark all plans percent of total billed charges · bothfrom % of charges | $314 | $314 | $51 | 16% | — | $262 – $365 |
| 3 | Humana all plans percent of total billed charges · bothfrom % of charges | $314 | $314 | $51 | 16% | — | $262 – $365 |
| 4 | Humana tricare percent of total billed charges · bothfrom % of charges | $314 | $314 | $51 | 16% | — | $262 – $365 |
| 5 | Aetna Better Health chip percent of total billed charges · bothfrom % of charges | $320 | $320 | $52 | 16% | — | $268 – $373 |
| 6 | Aetna Better Health managed medicaid percent of total billed charges · bothfrom % of charges | $320 | $320 | $52 | 16% | — | $268 – $373 |
| 7 | Aetna Better Health medicaid percent of total billed charges · bothfrom % of charges | $320 | $320 | $52 | 16% | — | $268 – $373 |
| 8 | Carefirst medicaid percent of total billed charges · bothfrom % of charges | $320 | $320 | $52 | 16% | — | $268 – $373 |
| 9 | Highmark chip percent of total billed charges · bothfrom % of charges | $320 | $320 | $52 | 16% | — | $268 – $373 |
| 10 | Highmark managed medicaid percent of total billed charges · bothfrom % of charges | $320 | $320 | $52 | 16% | — | $268 – $373 |
| 11 | UnitedHealthcare managed medicaid percent of total billed charges · bothfrom % of charges | $320 | $320 | $52 | 16% | — | $268 – $373 |
| 12 | Carefirst all plans percent of total billed charges · bothfrom % of charges | $325 | $322 | $54 | 17% | — | $262 – $395 |
| 13 | MultiPlan all plans percent of total billed charges · bothfrom % of charges | $323 | $323 | $53 | 16% | — | $270 – $376 |
| 14 | Aetna all plans percent of total billed charges · bothfrom % of charges | $325 | $327 | $55 | 17% | — | $262 – $395 |
| 15 | UnitedHealthcare all plans percent of total billed charges · bothfrom % of charges | $325 | $327 | $55 | 17% | — | $262 – $395 |
| 16 | Cigna all plans percent of total billed charges · bothfrom % of charges | $340 | $340 | $55 | 16% | — | $284 – $395 |
| 17 | Cigna rental percent of total billed charges · bothfrom % of charges | $340 | $340 | $55 | 16% | — | $284 – $395 |
| 18 | First Health all plans percent of total billed charges · bothfrom % of charges | $340 | $340 | $55 | 16% | — | $284 – $395 |
Last updated: Mar 31, 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.