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
San Diego, CA
See all hospitals reporting HCPCS J1455 →Price type
Sharp Memorial Hospital’s median price of $9 is 85% below the median hospital's median price ($60), higher than 5% of the 1,616 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: 11 payers, 32 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 blue cross - ppo fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Blue Cross Blue Shield blue cross - prudent buyer fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Medicaid medi-cal fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | MultiPlan multiplan fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 5 | UnitedHealthcare united healthcare - medicare percent of total billed charges · inpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Aetna first health - leased/ccn percent of total billed charges · outpatientfrom % of charges | $4 | $4 | $2 | 49% | — | $2 – $7 |
| 7 | Optum optum health - medicare percent of total billed charges · inpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 8 | MultiPlan multiplan percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 9 | Aetna first health medicare percent of total billed charges · inpatientfrom % of charges | $4 | $6 | $4 | 59% | — | $3 – $11 |
| 10 | Blue Cross Blue Shield blue shield - hmo percent of total billed charges · inpatientfrom % of charges | $7 | $7 | — | — | — | $7 – $7 |
| 11 | Aetna aetna - ppo percent of total billed charges · inpatientfrom % of charges | $7 | $7 | — | — | — | $7 – $7 |
| 12 | UnitedHealthcare united healthcare - medicare percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 13 | Blue Cross Blue Shield blue cross - prudent buyer percent of total billed charges · inpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 14 | Kaiser kaiser - hmo percent of total billed charges · outpatientfrom % of charges | $8 | $8 | $2 | 27% | — | $6 – $10 |
| 15 | Humana choice care network percent of total billed charges · inpatientfrom % of charges | $9 | $9 | $2 | 25% | — | $7 – $11 |
| 16 | Cigna cigna - ppo percent of total billed charges · outpatientfrom % of charges | $9 | $9 | $0 | 1% | — | $9 – $9 |
| 17 | Cigna cigna - hmo percent of total billed charges · outpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 18 | Blue Cross Blue Shield blue shield - promise percent of total billed charges · outpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 19 | Aetna first health - direct percent of total billed charges · outpatientfrom % of charges | $9 | $9 | $3 | 30% | — | $6 – $12 |
| 20 | Cigna cigna - ppo percent of total billed charges · inpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 21 | MultiPlan multiplan percent of total billed charges · inpatientfrom % of charges | $10 | $10 | — | — | — | $10 – $10 |
| 22 | Aetna aetna - hmo/pos percent of total billed charges · outpatientfrom % of charges | $10 | $10 | $2 | 24% | — | $7 – $12 |
| 23 | Medicaid medi-cal percent of total billed charges · inpatientfrom % of charges | $10 | $10 | — | — | — | $10 – $10 |
| 24 | Kaiser kaiser - rehab percent of total billed charges · outpatientfrom % of charges | $10 | $10 | $1 | 6% | — | $10 – $11 |
| 25 | Aetna first health - leased/ccn percent of total billed charges · inpatientfrom % of charges | $10 | $10 | $1 | 13% | — | $9 – $12 |
Last updated: Apr 1, 2026
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