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 1500 MG/1.5ML Vial
Aberdeen, SD
See all hospitals reporting HCPCS J1451 →Price type
Avera St. Luke's’s median price of $121 is 293% above the median hospital's median price ($31), higher than 59% of the 2,012 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: 4 payers, 8 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 com fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 2 | Wellmark ppo fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 3 | Medica com fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 4 | Medica ind fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 5 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 6 | Medica ind percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 7 | Medica com percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 8 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Apr 1, 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.