Fomepizole injection, per 15 mg at Windom Area 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.

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

Original text from hospital filings

FOMEPIZOLE 1.5 GM/1.5ML IV SOLN

Windom, MN

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How this price compares nationally

Windom Area Hospital’s median price of $542 is 1658% above the median hospital's median price ($31), higher than 63% of the 2,012 hospitals reporting HCPCS J1451. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1451 at Windom Area Hospital

Negotiated rates from the hospital’s own file: 9 payers, 20 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 Mn pmap facility · percent of total billed charges · inpatientfrom % of charges	$414	$414	—	—	—	$414 – $414
2	Bcbs Mn pmap facility · percent of total billed charges · outpatientfrom % of charges	$414	$414	—	—	—	$414 – $414
3	Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · inpatientfrom % of charges	$414	$414	—	—	—	$414 – $414
4	Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$414	$414	—	—	—	$414 – $414
5	Aetna medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$480	$480	—	—	—	$480 – $480
6	Blue Cross Blue Shield medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$480	$480	—	—	—	$480 – $480
7	Humana medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$480	$480	—	—	—	$480 – $480
8	Medica medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$480	$480	—	—	—	$480 – $480
9	Ucare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$480	$480	—	—	—	$480 – $480
10	UnitedHealthcare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$480	$480	—	—	—	$480 – $480
11	Medica pmap facility · percent of total billed charges · inpatientfrom % of charges	$542	$542	—	—	—	$542 – $542
12	Medica pmap facility · percent of total billed charges · outpatientfrom % of charges	$542	$542	—	—	—	$542 – $542
13	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$892	$892	—	—	—	$892 – $892
14	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$892	$892	—	—	—	$892 – $892
15	Bcbs Mn commercial facility · percent of total billed charges · outpatientfrom % of charges	$915	$915	—	—	—	$915 – $915
16	Bcbs Nd commercial facility · percent of total billed charges · outpatientfrom % of charges	$915	$915	—	—	—	$915 – $915
17	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$915	$915	—	—	—	$915 – $915
18	Wellmark commercial facility · percent of total billed charges · outpatientfrom % of charges	$915	$915	—	—	—	$915 – $915
19	Medica commercial facility · percent of total billed charges · inpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
20	Medica commercial facility · percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k

Last updated: Feb 3, 2026

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