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
Rocky Mount, NC
See all hospitals reporting HCPCS J1455 →Price type
Nash Hospitals’s median price of $321 is 435% above the median hospital's median price ($60), higher than 76% of the 1,615 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, 20 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 medicare advantage facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Humana medicare ppo facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 3 | Optum vaccn facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 4 | Optum vaccn behavioral health facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 5 | Humana medicare hmo facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 6 | Cigna medicare advantage facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 7 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 8 | Aetna medicare advantage facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 9 | Cigna commercial facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 10 | Blue Cross Blue Shield blue select/blue value/hmo/ppo facility · fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 11 | Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $321 | $321 | — | — | — | $321 – $321 |
| 12 | UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $321 | $321 | — | — | — | $321 – $321 |
| 13 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $321 | $321 | — | — | — | $321 – $321 |
| 14 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $735 | $735 | — | — | — | $735 – $735 |
| 15 | Medcost ultra facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | Medcost ultra facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | Medcost administrator id: 580 facility · percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 18 | Medcost administrator id: 580 facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Medcost all other business/commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Medcost all other business/commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
Last updated: Jun 18, 2026
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