APC 1689
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
FOMEPIZOLE, 15 MG
Low
$1
Average
$172
Median
$7
High
$1.7k
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 15 hospitals; the 90th percentile is 76.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Vicksburg Healthcare LLC Vicksburg, MS | $6 | $6 | — | — | — | $6 – $6 |
| 2 | Berkshire Medical Center Pittsfield, MA | $9 | $9 | — | — | — | $9 – $9 |
| 3 | Naples HMA LLC Naples, FL | $33 | $33 | — | — | — | $33 – $33 |
| 4 | Foley Hospital Company LLC Foley, AL | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Northwest Hospital LLC Tucson, AZ | $7 | $7 | $0 | 1% | — | $6 – $7 |
| 6 | Northwest Sahurita Hospital LLC Tucson, AZ | $7 | $7 | — | — | — | $7 – $7 |
| 7 | Bullhead City Hospital Corporation City, AZ | $7 | $7 | $0 | 1% | — | $7 – $7 |
| 8 | Victoria of Texas LP Victoria, TX | $10 | $10 | $3 | 32% | — | $7 – $13 |
| 9 | Victoria of Texas LP Victoria, TX | $10 | $10 | $3 | 32% | — | $7 – $13 |
| 10 | Longview Medical Center LP Longview, TX | $7 | $7 | — | — | — | $7 – $7 |
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