HCPCS J1455
Injection, foscarnet sodium, per 1000 mg
Current code41 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $44.12 – $411 | — | — |
| Deaconess Medical Center | $53.59 – $235 | — | — |
| Harborview Medical Center | $40.71 | — | — |
| Highline Medical Center | $32.97 – $9,630 | $2,074 – $3,267 | $6,791 – $10,701 |
| Island Hospital | $6.71 | — | — |
| Kadlec Regional Medical Center | $39.98 – $186 | — | — |
| Legacy Salmon Creek Medical Center | $25.32 – $123 | — | — |
| Mary Bridge Children's Hospital | $108 – $414 | — | — |
| MultiCare Auburn Medical Center | $53.59 – $405 | — | — |
| MultiCare Covington Medical Center | $53.59 – $405 | — | — |
| MultiCare Good Samaritan Hospital | $53.59 – $405 | — | — |
| MultiCare Valley Hospital | $53.59 – $234 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $34.45 – $607 | — | — |
| PeaceHealth Peace Island Medical Center | — | $423 – $468 | $651 – $720 |
| PeaceHealth Southwest Medical Cente | $10.40 – $38.28 | $423 – $468 | $651 – $720 |
| PeaceHealth St John Medical Center | $11.68 | $423 – $468 | $651 – $720 |
| PeaceHealth St Joseph Medical Center | $11.62 | $423 – $468 | $651 – $720 |
| PeaceHealth United General Medical Center | — | $423 – $468 | $651 – $720 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $39.98 – $189 | $817 – $1,367 | $1,167 – $1,953 |
| Providence Centralia Hospital | $49.02 – $238 | — | — |
| Providence Holy Family Hospital | $39.98 – $86.67 | $817 – $1,367 | $1,167 – $1,953 |
| Providence Mount Carmel Hospital | — | $817 | $1,167 |
| Providence Regional Medical Center Everett | $39.98 – $193 | — | — |
| Providence St Mary Medical Center | $49.02 – $119 | — | — |
| Providence St Peter Hospital | $39.98 – $255 | $1,182 – $1,482 | $2,274 – $2,850 |
| Seattle Children's Hospital | $1,686 – $2,998 | $3,123 | $3,123 |
| St Anthony Hospital | $33.55 – $8,025 | $2,066 – $3,255 | $6,791 – $10,701 |
| St Clare Hospital | $38.28 – $8,025 | $1,958 – $3,084 | $6,791 – $10,701 |
| St Elizabeth Hospital | $49.02 – $9,630 | $2,400 – $3,781 | $6,791 – $10,701 |
| St Francis Community Hospital | $32.97 – $8,025 | $2,131 – $3,358 | $6,791 – $10,701 |
| St Joseph Medical Center | $34.97 – $8,025 | $2,249 – $3,544 | $6,791 – $10,701 |
| St Michael Medical Center | $14.00 – $9,630 | $2,997 – $4,723 | $6,791 – $10,701 |
| Swedish Edmonds Hospital | $31.17 – $188 | $825 | $1,718 |
| Swedish Issaquah | $31.17 – $239 | $825 | $1,718 |
| Swedish Medical Center | $39.98 – $239 | $825 – $1,150 | $1,718 – $2,396 |
| Swedish Medical Center / Cherry Hill | $39.98 – $177 | $825 – $1,150 | $1,718 – $2,396 |
| Tacoma General Allenmore Hospital | $53.59 – $300 | — | — |
| University of Washington Medical Ctr | $40.71 – $136 | — | — |
| Virginia Mason Medical Center | $16.08 – $235 | $42.54 – $150 | $83.41 – $294 |
| Yakima Valley Memorial | $88.04 – $304 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.