Fomepizole injection, per 15 mg at Key West HMA LLC

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Fomepizole Inj 1 GM/ML (For IV Infusion)

Key West, FL

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How this price compares nationally

Key West HMA LLC’s median price of $34 is 11% above the median hospital's median price ($31), higher than 51% of the 2,006 hospitals reporting HCPCS J1451. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1451 at Key West HMA LLC

Negotiated rates from the hospital’s own file: 10 payers, 26 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	Bcbs Fl node bcbs fl mcr adv facility · fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
2	Humana node humana mcr adv facility · fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
3	Optum node united optum va ccn facility · fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
4	Bcbs Fl bcbs fl chs employee facility · percent of total billed charges · inpatientfrom % of charges	$13	$13	—	—	—	$13 – $13
5	Cigna cigna all facility · percent of total billed charges · inpatientfrom % of charges	$23	$23	—	—	—	$23 – $23
6	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$23	$23	—	—	—	$23 – $23
7	Bcbs Fl bcbs fl chs employee facility · percent of total billed charges · outpatientfrom % of charges	$24	$24	—	—	—	$24 – $24
8	Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges	$27	$27	—	—	—	$27 – $27
9	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$27	$27	—	—	—	$27 – $27
10	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
11	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
12	Bcbs Fl bcbs fl bsl facility · other · outpatient	$38	$38	—	—	—	$38 – $38
13	Bcbs Fl bcbs fl hmo facility · other · outpatient	$38	$38	—	—	—	$38 – $38
14	Bcbs Fl bcbs fl mbn facility · other · outpatient	$38	$38	—	—	—	$38 – $38
15	Bcbs Fl bcbs fl nwb facility · other · outpatient	$38	$38	—	—	—	$38 – $38
16	Bcbs Fl bcbs fl phs facility · other · outpatient	$38	$38	—	—	—	$38 – $38
17	Bcbs Fl bcbs fl ppo facility · other · outpatient	$38	$38	—	—	—	$38 – $38
18	Blue Cross Blue Shield bcbs fl sbn facility · other · outpatient	$38	$38	—	—	—	$38 – $38
19	UnitedHealthcare uhc medicaid fl facility · per diem · outpatient	$62	$62	—	—	—	$62 – $62
20	UnitedHealthcare uhc kids medicaid fl facility · per diem · outpatient	$65	$65	—	—	—	$65 – $65
21	Humana humana medicaid fl facility · fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
22	WellCare healthease medicaid fl facility · fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
23	WellCare wellcare kids medicaid fl facility · fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
24	WellCare wellcare medicaid fl facility · fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
25	Molina molina medicaid fl facility · other · outpatient	$178	$178	—	—	—	$178 – $178

Page 1 of 2 · 26 rates

Last updated: Apr 1, 2026

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