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 1GM/ML 1.5ML INJ JW
Mesa, AZ
See all hospitals reporting HCPCS J1451 →Price type
Agh Mesa Llc’s median price of $7 is 79% below the median hospital's median price ($31), higher than 10% of the 2,006 hospitals reporting HCPCS J1451. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 14 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Humana medicare|all plans fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 3 | WellCare medicare|all plans fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 4 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 5 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 6 | Cigna commercial|all other plans fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 7 | Cigna commercial|ppo fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 8 | Aetna commercial|all other plans fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 9 | Aetna commercial|ppo fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 10 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 11 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 12 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 13 | MultiPlan commercial|all plans fee schedule · inpatient | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 14 | MultiPlan commercial|all plans fee schedule · outpatient | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
Last updated: Feb 28, 2026
See Fomepizole injection, per 15 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.