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
Utica, NY
See all hospitals reporting HCPCS J1455 →Price type
MVHS, Inc.’s median price of $1.6k is 2485% above the median hospital's median price ($60), higher than 95% 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: 6 payers, 10 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 | Excellus excellus bcbs medicaid fee schedule · both | $360 | $360 | — | — | — | $360 – $360 |
| 2 | Excellus excellus bcbs medicaid hmo fee schedule · both | $360 | $360 | — | — | — | $360 – $360 |
| 3 | UnitedHealthcare uhc commercial fee schedule · both | $588 | $588 | — | — | — | $588 – $588 |
| 4 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 5 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 7 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 8 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 9 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
Last updated: Aug 7, 2026
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