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 20 MG/ML INJ
CONROE, TX
See all hospitals reporting HCPCS J1451 →Price type
Hca Houston Healthcare Conroe’s median price of $3.7k is 11756% above the median hospital's median price ($31), higher than 92% 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: 7 payers, 24 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 allpayerappendix fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 2 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 3 | UnitedHealthcare smallgroup fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 4 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 5 | Blue Cross Blue Shield bav fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 6 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 7 | Blue Cross Blue Shield hmo fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 8 | Blue Cross Blue Shield ppo fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 9 | Cigna csn fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 10 | Cigna openaccessplus fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 11 | Cigna ppo fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 12 | Humana hmo fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 13 | Humana ppo fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 14 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $926 | $926 | — | — | — | $926 – $926 |
| 15 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $926 | $926 | — | — | — | $926 – $926 |
| 16 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $926 | $926 | — | — | — | $926 – $926 |
| 17 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $926 | $926 | — | — | — | $926 – $926 |
| 18 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $926 | $926 | — | — | — | $926 – $926 |
| 19 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 20 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 21 | UnitedHealthcare globalappendix percent of total billed charges · outpatientfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 22 | First Health comm percent of total billed charges · outpatientfrom % of charges | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 23 | MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 24 | MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges | $13.1k | $13.1k | — | — | — | $13.1k – $13.1k |
Last updated: May 14, 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.