Foscarnet sodium injection, per 1000 mg at Mercy Hospital Springfield

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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Generated: October 20, 2026

Original text from hospital filings

FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION

Ozark, MO

See all hospitals reporting HCPCS J1455 →

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How this price compares nationally

Mercy Hospital Springfield’s median price of $1.1k is 1760% above the median hospital's median price ($60), higher than 90% of the 1,621 hospitals reporting HCPCS J1455. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1455 at Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 12 payers, 27 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 hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
2	Optum hb sprg uhc all payer facility · fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
3	UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
4	UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
5	UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
6	Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient	$79	$79	—	—	—	$79 – $79
7	Cigna hb sprg cigna hmo facility · fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
8	Cigna hb sprg cigna ppo facility · fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
9	Anthem hb sprg anthem blue access facility · fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
10	Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
11	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
12	Anthem hb sprg anthem alliance facility · fee schedule · outpatient	$165	$165	—	—	—	$165 – $165
13	Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient	$165	$165	—	—	—	$165 – $165
14	Aetna hb sprg ok medicaid facility · fee schedule · outpatient	$269	$269	—	—	—	$269 – $269
15	Humana hb sprg ok medicaid facility · fee schedule · outpatient	$269	$269	—	—	—	$269 – $269
16	Medicaid hb sprg ok medicaid facility · fee schedule · outpatient	$269	$269	—	—	—	$269 – $269
17	Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges	$446	$446	—	—	—	$446 – $446
18	Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$446	$446	—	—	—	$446 – $446
19	UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$446	$446	—	—	—	$446 – $446
20	Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges	$882	$882	—	—	—	$882 – $882
21	Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges	$908	$908	—	—	—	$908 – $908
22	Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
23	First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
24	Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
25	Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k

Page 1 of 2 · 27 rates

Last updated: Jun 4, 2026

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