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 1 gram/mL Soln 1.5 mL VIAL
Rapids, MN
See all hospitals reporting HCPCS J1451 →Price type
Allina Health Systems’s median price of $186 is 505% above the median hospital's median price ($31), higher than 59% of the 2,022 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: 9 payers, 28 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 united healthcare (um) facility · case rate · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Aetna allina aetna medicare (m) facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 3 | Medicaid medicaid ma (m) facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 4 | Medicare medicare (m) facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 5 | Medica medica medicare (m) facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 6 | Blue Cross Blue Shield bc medicare (m) facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 7 | UnitedHealthcare uhc ubh pmap (m) facility · other · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 8 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 9 | Bcbs Mn bc premier (m u) facility · other · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 10 | Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 11 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 12 | Bcbs Mn bc high value/performance network (mu) facility · other · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 13 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $359 | $447 | $129 | 29% | — | $353 – $630 |
| 14 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $396 | $494 | $143 | 29% | — | $390 – $695 |
| 15 | Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges | $629 | $784 | $226 | 29% | — | $619 – $1.1k |
| 16 | Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges | $669 | $834 | $241 | 29% | — | $658 – $1.2k |
| 17 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $792 | $987 | $285 | 29% | — | $779 – $1.4k |
| 18 | Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges | $975 | $1.2k | $351 | 29% | — | $959 – $1.7k |
| 19 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.3k | $377 | 29% | — | $1.0k – $1.8k |
| 20 | Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.6k | $449 | 29% | — | $1.2k – $2.2k |
| 21 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.6k | $460 | 29% | — | $1.3k – $2.2k |
| 22 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.7k | $481 | 29% | — | $1.3k – $2.3k |
| 23 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.7k | $481 | 29% | — | $1.3k – $2.3k |
| 24 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.8k | $506 | 29% | — | $1.4k – $2.5k |
| 25 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.8k | $514 | 29% | — | $1.4k – $2.5k |
Last updated: Jun 17, 2026
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