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 sodium 24 mg/ml
Montgomery, AL
See all hospitals reporting HCPCS J1455 →Price type
Jackson Hospital’s median price of $22 is 64% below the median hospital's median price ($60), higher than 23% 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: 5 payers, 12 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 510113 fee schedule · both | $22 | $22 | — | — | — | $22 – $22 |
| 2 | Humana 510103 fee schedule · both | $22 | $22 | — | — | — | $22 – $22 |
| 3 | Humana 510104 fee schedule · both | $22 | $22 | — | — | — | $22 – $22 |
| 4 | Humana 510112 fee schedule · both | $22 | $22 | — | — | — | $22 – $22 |
| 5 | WellCare 510108 fee schedule · both | $22 | $22 | — | — | — | $22 – $22 |
| 6 | Bcbs Al 100100 fee schedule · both | $73 | $73 | — | — | — | $73 – $73 |
| 7 | Bcbs Al 100109 fee schedule · both | $73 | $73 | — | — | — | $73 – $73 |
| 8 | Blue Cross Blue Shield 100101 fee schedule · both | $73 | $73 | — | — | — | $73 – $73 |
| 9 | Blue Cross Blue Shield 100102 fee schedule · both | $73 | $73 | — | — | — | $73 – $73 |
| 10 | Blue Cross Blue Shield 100104 fee schedule · both | $73 | $73 | — | — | — | $73 – $73 |
| 11 | Blue Cross Blue Shield 100105 fee schedule · both | $73 | $73 | — | — | — | $73 – $73 |
| 12 | Blue Cross Blue Shield 100108 fee schedule · both | $73 | $73 | — | — | — | $73 – $73 |
Last updated: Jun 23, 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.