What does code J1455 cost?

Across the published hospital price files, the disclosed cash price for J1455 ranges from $1.02 to $3,570. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

J1455 is the billing code hospitals use to identify "FOSCAVIR 24 MG/ML INTRAVENOUS SOLUTION" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

J1455

HCPCS

FOSCAVIR 24 MG/ML INTRAVENOUS SOLUTION

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code J1455 (FOSCAVIR 24 MG/ML INTRAVENOUS SOLUTION) appears at 8 hospitals with disclosed cash prices from $1.02 to $3,570. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare J1455 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code J1455 vary by about 3500× across the 6 hospitals with disclosed prices here — from $1.02 to $3,570. Shopping around can matter.

Hospitals

Prices shown

$1.02

Lowest cash

$3,570

Highest cash

code J1455 cash price7 disclosed · 6 hospitals

$1.02median ~$1,257$3,570

Lowest cash price by hospital

Stanford Health Care Tri-Valley$1.02
Froedtert Hospital$444
Atrium Health Lincoln$1,209
Carle Foundation Hospital$3,570
Methodist Medical Center of Illinois$3,570
Carle BroMenn Medical Center$3,570

Cash price by city

Reflects your current filters.

Cash price by city$1.02 – $3,570

Pleasanton · 1 hospital$1.02
Milwaukee · 1 hospital$444–$1,257
Lincolnton · 1 hospital$1,209
Urbana · 1 hospital$3,570
Peoria · 1 hospital$3,570
Normal · 1 hospital$3,570

11 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
FOSCAVIR 24 MG/ML INTRAVENOUS SOLUTION Inpatient	Carle Foundation Hospital	J1455 HCPCS	$3,570	$3,570	$54.96 – $2,360	—
Foscarnet sodium injection Outpatient	Endeavor Health Edward Hospital	J1455 HCPCS	—	—	$175 – $175	—
FOSCAVIR 24 MG/ML INTRAVENOUS SOLUTION Inpatient	Methodist Medical Center of Illinois	J1455 HCPCS	$3,570	$3,570	$54.96 – $2,360	—
NDC Description Not Available Inpatient & outpatient	University of Chicago Medical Center	J1455 HCPCS	—	—	—	—
Foscarnet Sodium: 10 Carton In 1 Case (0143-9192-01) / 1 Bottle In 1 Carton / 250 Ml In 1 Bottle Inpatient & outpatient	University of Chicago Medical Center	J1455 HCPCS	—	—	—	—
Foscarnet sodium injection Outpatient	University of Chicago Medical Center	J1455 HCPCS	—	—	—	—
FOSCAVIR 24 MG/ML INTRAVENOUS SOLUTION Inpatient	Carle BroMenn Medical Center	J1455 HCPCS	$3,570	$3,570	$54.96 – $2,360	—
foscarnet 24 mg/mL Solution 250 mL Glass Cont Outpatient	Froedtert Hospital	J1455 HCPCS	$808	$444	$16.08 – $699	—
foscarnet 6000 MG/250ML Solution 250 mL Glass Cont Outpatient	Froedtert Hospital	J1455 HCPCS	$2,286	$1,257	$16.08 – $1,977	—
FOSCARNET 2.4 MG/0.1 ML INTRAVITREAL INJECTION Inpatient & outpatient	Stanford Health Care Tri-Valley	J1455 HCPCS	$2.54	$1.02	—	—
FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION Outpatient	Atrium Health Lincoln	J1455 HCPCS	$2,419	$1,209	$16.40 – $2,298	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish J1455 prices

Open a hospital to see this code in the context of its full published prices.

Carle Foundation Hospital Endeavor Health Edward Hospital Methodist Medical Center of Illinois University of Chicago Medical Center Carle BroMenn Medical Center Froedtert Hospital Stanford Health Care Tri-Valley Atrium Health Lincoln

Code J1455: frequently asked

What does code J1455 cost?: Across the published hospital price files, the disclosed cash price for J1455 ranges from $1.02 to $3,570. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code J1455?: J1455 is the billing code hospitals use to identify "FOSCAVIR 24 MG/ML INTRAVENOUS SOLUTION" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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