Code: J1455

Description:
Description: Injection, foscarnet sodium, per 1000 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Other Descriptions:
FOSCARNET 1000 MG INJ
FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION
FOSCARNET SODIUM 24MG/ML 250ML
INJECTION FOSCARNET SODIUM PER 1000 MG
FOSCARNET 24MG/ML 500ML
Foscarnet 24 Mg/Ml 250 Ml Vial
FOSCARNET 1000 MG INJJW
Related codes:
Code: J1450
FLUCONAZOLE 200 MG VL
Code: J1451
FOMEPIZOLE 1500 MG INJ
Code: J1452
Description: Injection, fomivirsen sodium, intraocular, 1.65 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Code: J1453
FOSAPREPITANT 150 MG INJ
Code: J1454
Description: Injection, fosnetupitant 235 mg and palonosetron 0.25 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Code: J1457
GALLIUM NITRATE 1 MG INJ
Code: J1458
GALSULFASE 5 MG INJ
Code: J1459
IVIG PRIVIGEN 10G/100ML
Texas
Hospital Address Code Price Last Updated
Ascension Providence 6901 Medical Pkwy, Woodway J1455 $151 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo J1455 $262 [source] 4 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass J1455 $338 [source] 4 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo J1455 $391 [source] 4 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison J1455 $394 [source] 4 years ago
Palestine Regional Medical Center 2900 South Loop 256, Palestine J1455 $598 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg J1455 $879 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen J1455 $879 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen J1455 $879 [source] 4 years ago
Baylor Scott & White Medical Center - Marble Falls 810 W. State Highway 71, Marble Falls J1455 $1,066 [source] 4 years ago
Baylor Scott & White Medical Center - Taylor 305 Mallard Ln, Taylor J1455 $1,066 [source] 4 years ago
Baylor Scott & White Medical Center - College Station 700 Scott And White Dr, College Station J1455 $1,066 [source] 4 years ago
Baylor Scott & White Medical Center - Brenham 700 Medical Pkwy, Brenham J1455 $1,066 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson J1455 $1,185 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas J1455 $1,198 [source] 4 years ago
Baylor Scott & White Medical Center - Lakeway 100 Medical Pkwy, Austin J1455 $1,279 [source] 4 years ago
Baylor Scott & White Medical Center - Buda 5330 Overpass Rd, Buda J1455 $1,279 [source] 4 years ago
Baylor Scott & White Medical Center - Round Rock 300 University Blvd, Sandy J1455 $1,279 [source] 4 years ago
Baylor Scott & White Medical Center - Pflugerville 2600 E Pflugerville Pkwy Ste 100, Pflugerville J1455 $1,279 [source] 4 years ago
Medical City Denton 3535 S Interstate 35, Corinth J1455 $1,305 [source] 4 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas J1455 $1,400 [source] 4 years ago
Baylor Scott & White Continuing Care Hospital - Temple 546 N Kegley Rd, Temple J1455 $1,599 [source] 4 years ago
Baylor Scott & White Medical Center - Irving 1901 N Macarthur Blvd, Irving J1455 $1,599 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Plano 1100 Allied Dr, Plano J1455 $1,599 [source] 4 years ago
Baylor Scott & White Emergency Center - Forney 757 E Us Highway 80 Ste 150, Forney J1455 $1,599 [source] 4 years ago
Baylor Scott & White Medical Center - Centennial 12505 Lebanon Rd, Frisco J1455 $1,599 [source] 4 years ago
Baylor Scott & White All Saints Medical Center - Fort Worth 1400 8Th Ave, Fort Worth J1455 $1,599 [source] 4 years ago
Baylor Scott & White Medical Center - Plano 4700 Alliance Blvd, Plano J1455 $1,599 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Murphy 511 W Fm 544 Ste 100, Plano J1455 $1,599 [source] 4 years ago
Baylor Scott & White Heart And Vascular Hospital - Dallas 621 N Hall St, Dallas J1455 $1,599 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Aubrey 26791 Us Highway 380 E, Aubrey J1455 $1,599 [source] 4 years ago
Baylor Scott & White Medical Center - Waxahachie 2400 N Interstate 35E, Waxahachie J1455 $1,599 [source] 4 years ago
Baylor Scott & White Medical Center - Lake Pointe 6800 Scenic Dr, Rowlett J1455 $1,599 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Denton 2801 S Mayhill Rd, Denton J1455 $1,599 [source] 4 years ago
Baylor Scott & White Medical Center - Grapevine 1650 W College St, Grapevine J1455 $1,599 [source] 4 years ago
Texas Children's Hospital 6621 Fannin St Houston, Houston J1455 $1,808 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco J1455 $2,024 [source] 4 years ago
Medical City Weatherford 713 E Anderson St, Weatherford J1455 $2,711 [source] 4 years ago
Medical City Arlington 3301 Matlock Rd, Arlington J1455 $3,163 [source] 4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR §180.