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
Hanover, PA
See all hospitals reporting HCPCS J1455 →Price type
UPMC Hanover’s median price of $1 is 99% below the median hospital's median price ($60), higher than 0% 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: 9 payers, 22 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 · percent of total billed charges · outpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 4 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 11 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 12 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Highmark medicare facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 14 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 15 | Humana medicare facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 16 | Aetna medicare facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 17 | Cigna medicare facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 18 | UnitedHealthcare medicare facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 19 | Highmark medicaid facility · fee schedule · outpatient | $35 | $35 | $18 | 53% | — | $16 – $53 |
| 20 | Highmark commercial facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 21 | Cigna commercial facility · fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 22 | UnitedHealthcare commercial facility · fee schedule · outpatient | $417 | $417 | — | — | — | $417 – $417 |
Last updated: Mar 6, 2026
See Foscarnet sodium injection, per 1000 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.