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HCPCS J1455
FOSCARNET SODIUM INJ 6000 MG/250ML (24 MG/ML) - as described in hospitals' own price files.
17hospitals publishing a price
$825median cash price
$220median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Flowers Hospital | Dothan, AL | $1.44 | $7.96 | $9.59 | $1.44 - $221 |
| Mat-Su Regional Medical Center | Palmer, AK | $85.20 | $216 | $284 | $30.44 - $284 |
| Gadsden Regional Medical Center | Gadsden, AL | $50.70 | $225 | $422 | $50.32 - $1,525 |
| Crestwood Medical Center | Huntsville, AL | $80.34 | $312 | $446 | $16.08 - $379 |
| Providence St. Joseph Hospital | Eureka, CA | $743 | - | $1,547 | - |
| Providence Mount Carmel Hospital | Colville, WA | $817 | - | $1,167 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $821 | - | $1,710 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $825 | - | $1,718 | - |
| Swedish Issaquah | Issaquah, WA | $825 | - | $1,718 | - |
| Providence Alaska Medical Center | Anchorage, AK | $911 | - | $1,168 | - |
| Providence St. Vincent Medical Center | Portland, OR | $941 | - | $1,255 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $1,150 | - | $2,396 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $1,197 | - | $3,419 | - |
| Providence Holy Family Hospital | Spokane, WA | $1,367 | - | $1,953 | - |
| Providence St. Peter Hospital | Olympia, WA | $1,482 | - | $2,850 | - |
| St. Patrick Hospital | Missoula, MT | $1,613 | - | $2,016 | - |
| Providence Portland Medical Center | Portland, OR | $1,781 | - | $2,374 | - |
Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.
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