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HCPCS J1455

Injection, foscarnet sodium, per 1000 mg

Current code41 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Highline Medical CenterBurienFile dated 2026-02-28$2,920 – $9,6306 plans$2,074 – $3,267$6,791 – $10,701
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$817 – $1,367$1,167 – $1,953
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$817 – $1,367$1,167 – $1,953
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$817$1,167
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$1,182 – $1,482$2,274 – $2,850
Seattle Children's HospitalSeattle$1,686 – $2,99898 plans$3,123$3,123
St Anthony HospitalGig HarborFile dated 2026-02-28$3,735 – $8,0254 plans$2,066 – $3,255$6,791 – $10,701
St Clare HospitalLakewoodFile dated 2026-02-28$3,735 – $8,0254 plans$1,958 – $3,084$6,791 – $10,701
St Elizabeth HospitalEnumclawFile dated 2026-02-28$2,445 – $9,6309 plans$2,400 – $3,781$6,791 – $10,701
St Francis Community HospitalFederal WayFile dated 2026-02-28$3,735 – $8,0254 plans$2,131 – $3,358$6,791 – $10,701
St Joseph Medical CenterTacomaFile dated 2026-02-28$3,735 – $8,0254 plans$2,249 – $3,544$6,791 – $10,701
St Michael Medical CenterSilverdaleFile dated 2026-02-28$4,279 – $9,63010 plans$2,997 – $4,723$6,791 – $10,701
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$825$1,718
Swedish IssaquahIssaquahFile dated 2026-04-01—$825$1,718
Swedish Medical CenterSeattleFile dated 2026-04-01—$825 – $1,150$1,718 – $2,396
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$825 – $1,150$1,718 – $2,396
Virginia Mason Medical CenterSeattle$53.42 – $2354 plans$42.54 – $150$83.41 – $294

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.