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 6000 MG/250ML IV SOLN
MEMPHIS, TN
See all hospitals reporting HCPCS J1455 →Price type
Methodist University Hospital’s median price of $21 is 65% below the median hospital's median price ($60), higher than 22% 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: 9 payers, 26 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 medicare advantage / managed care - tn contract other · both | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Humana hb medicare advantage / managed care - tn contract other · both | $16 | $16 | — | — | — | $16 – $16 |
| 3 | Medicare hb medicare-tn contract other · both | $16 | $16 | — | — | — | $16 – $16 |
| 4 | Optum hb medicare advantage / managed care - tn contract other · both | $16 | $16 | — | — | — | $16 – $16 |
| 5 | UnitedHealthcare hb medicare advantage / managed care - tn contract other · both | $16 | $16 | — | — | — | $16 – $16 |
| 6 | UnitedHealthcare hb va - tn contract other · both | $16 | $16 | — | — | — | $16 – $16 |
| 7 | WellCare hb medicare advantage / managed care - tn contract other · both | $16 | $16 | — | — | — | $16 – $16 |
| 8 | WellCare hb medicare advantage wellcare/wellpoint - tn contract other · both | $16 | $16 | — | — | — | $16 – $16 |
| 9 | Devoted hb medicare advantage devoted - tn contract other · both | $17 | $17 | — | — | — | $17 – $17 |
| 10 | Optum hb medicaid tn - uhc tenncare (americhoice) - muh-mnh-msh-mgh-mhm-mci fee schedule · both | $32 | $32 | — | — | — | $32 – $32 |
| 11 | UnitedHealthcare hb medicaid tn - uhc tenncare (americhoice) - muh-mnh-msh-mgh-mhm-mci fee schedule · both | $32 | $32 | — | — | — | $32 – $32 |
| 12 | Cigna hb cigna oap - germantown-north-south-olive branch-cancer inst-university fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 13 | Blue Cross Blue Shield hb bluecare adult contract fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
| 14 | Blue Cross Blue Shield hb bcbs tn - muh, mnh, msh, mob, mgh fee schedule · both | $106 | $106 | — | — | — | $106 – $106 |
| 15 | Blue Cross Blue Shield hb medicaid tn - bcbs tenncare select - muh-mnh-msh-mgh-mhm fee schedule · both | $141 | $141 | — | — | — | $141 – $141 |
| 16 | UnitedHealthcare hb uhc heritage select contract percent of total billed charges · bothfrom % of charges | $174 | $293 | $338 | 115% | — | $0 – $824 |
| 17 | UnitedHealthcare hb uhc fed ex core percent of total billed charges · bothfrom % of charges | $196 | $331 | $381 | 115% | — | $0 – $930 |
| 18 | UnitedHealthcare hb uhc fed ex nexus aco percent of total billed charges · bothfrom % of charges | $198 | $334 | $386 | 115% | — | $0 – $941 |
| 19 | UnitedHealthcare hb uhc core percent of total billed charges · bothfrom % of charges | $202 | $341 | $393 | 115% | — | $0 – $958 |
| 20 | UnitedHealthcare hb uhc nexus aco adult percent of total billed charges · bothfrom % of charges | $204 | $344 | $397 | 115% | — | $0 – $969 |
| 21 | UnitedHealthcare hb uhc fed ex all payer (choice) percent of total billed charges · bothfrom % of charges | $211 | $356 | $410 | 115% | — | $0 – $1.0k |
| 22 | Molina hb molina hc of ms - mscan mlh-tn contract fee schedule · both | $356 | $356 | — | — | — | $356 – $356 |
| 23 | UnitedHealthcare hb uhc ms can mlh-ms-ob contract fee schedule · both | $356 | $356 | — | — | — | $356 – $356 |
| 24 | UnitedHealthcare hb uhc all payer appendix - muh-mnh-msh-mgh-mci percent of total billed charges · bothfrom % of charges | $217 | $366 | $423 | 115% | — | $0 – $1.0k |
| 25 | Molina hb molina mschips - mlh-tn contract fee schedule · both | $445 | $445 | — | — | — | $445 – $445 |
Last updated: Mar 19, 2026
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