Fomepizole injection, per 15 mg at Carle Eureka Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION

Eureka, IL

See all hospitals reporting HCPCS J1451 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Carle Eureka Hospital’s median price of $50 is 61% above the median hospital's median price ($31), higher than 54% of the 2,022 hospitals reporting HCPCS J1451. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1451 at Carle Eureka Hospital

Negotiated rates from the hospital’s own file: 9 payers, 21 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.

Filter by billing methodology

Filter by billing class

#
1	WellCare medicare advantage hmo case rate · outpatient	$6	$6	—	—	—	$6 – $6
2	UnitedHealthcare va ccn/optum fee schedule · inpatient	$9	$9	—	—	—	$9 – $9
3	UnitedHealthcare va ccn/optum fee schedule · outpatient	$9	$9	—	—	—	$9 – $9
4	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$12	$12	—	—	—	$12 – $12
5	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
6	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$12	$12	—	—	—	$12 – $12
7	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
8	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$22	$22	$0	1%	—	$21 – $22
9	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$22	$22	$0	1%	—	$21 – $22
10	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$22	$22	$0	1%	—	$21 – $22
11	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$49	$49	$1	1%	—	$48 – $50
12	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$49	$49	$1	1%	—	$48 – $50
13	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$49	$49	$1	1%	—	$48 – $50
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$52	$52	$1	1%	—	$52 – $53
15	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$67	$67	$1	1%	—	$66 – $68
16	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$67	$67	$1	1%	—	$67 – $68
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$72	$72	$1	1%	—	$71 – $73
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$72	$72	$1	1%	—	$71 – $73
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$73	$73	$1	1%	—	$72 – $74
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$82	$82	$1	1%	—	$80 – $83
21	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$91	$91	$1	1%	—	$90 – $93

Last updated: Apr 15, 2026

Compare to other hospitals

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.