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
FOMEPIZO 1GM/ML 1.5MLJWTB
Phoenix, AZ
See all hospitals reporting HCPCS J1451 →Price type
Dignity Health’s median price of $17 is 44% below the median hospital's median price ($31), higher than 40% 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: 8 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 medicaid|all plans fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 2 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 3 | UnitedHealthcare medicare|dual complete case rate · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 4 | Aetna medicare|all plans fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 5 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 6 | Cigna medicare|all plans fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 7 | First Health medicare|all plans fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 8 | Humana medicare|all plans fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 9 | Optum medicare|optumcare fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 10 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 11 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 12 | UnitedHealthcare medicare|all other plans fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 13 | Optum medicare|optumhealth fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 14 | Cigna commercial|exchange fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 15 | Cigna commercial|localplus surefit fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 16 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 17 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 18 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 19 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 20 | Cigna commercial|all other plans fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 21 | Aetna commercial|all plans fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 22 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $898 | $898 | — | — | — | $898 – $898 |
| 23 | Optum commercial|optumhealth fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 24 | Cigna commercial|lifesource fee schedule · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 25 | First Health commercial|all plans fee schedule · inpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
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.