70710-1478-01 — Fomepizole
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). FOMEPIZOLE (NDC 70710-1478-01) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/70710-1478-01?code_type=NDC
MLA (9th ed.)
“FOMEPIZOLE (NDC 70710-1478-01) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/70710-1478-01?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“FOMEPIZOLE (NDC 70710-1478-01) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/70710-1478-01?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,571–$5,163 (25th–75th percentile) across 6 hospitals · 37 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 70710-1478-01 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| University Of Toledo Medical Center Both | [Paramount] | [Hmo Flex] | $288.42 | $1,227.32 | $736.39 | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Both | [Mclaren] | [Commercial] | $432.88 | $1,227.32 | $736.39 | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Both | [Paramount] | [Ppo] | $507.99 | $1,227.32 | $736.39 | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Both | [Ohio Health Choice] | [Phc Plus] | $532.66 | $1,227.32 | $736.39 | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Both | [Sidecar] | [Commercial] | $576.84 | $1,227.32 | $736.39 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Ambetter | Exchange | $624.13 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Both | [Aetna] | [First Health] | $665.21 | $1,227.32 | $736.39 | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Both | [Ohio Health Choice] | [Ppo] | $709.39 | $1,227.32 | $736.39 | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Both | [Northwest Ohio Psychiatric Hospital] | [All] | $736.39 | $1,227.32 | $736.39 | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Both | [Mtc Medical] | [Op Medicaid] | $797.76 | $1,227.32 | $736.39 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | New Hampshire Healthy Families | Medicaid | $835.27 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Both | [Health Alliance Plan] | [Hmo] | $973.63 | $1,227.32 | $736.39 | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Both | [Beech Street Corporation] | [Capp Care] | $981.85 | $1,227.32 | $736.39 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Medicaid | $1,192.37 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Fidelis Wellcare | Medicaid | $1,381.09 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Better Health Medicaid | $1,381.09 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Healthnet Federal | Ppo Pc3 | $1,425.00 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Pos, Epo, Ppo | $1,571.40 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Hmo | $1,571.40 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Cigna | Commercial | $1,571.70 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Humana | Humana | $1,656.33 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Amerihealth | Amerihealth | $1,656.33 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Wellcare Medicare | Wellcare Medicare | $1,656.33 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Boston Medical Center Health Plan Dba Well Sense | Boston Medical Center Health Plan Dba Well Sense | $1,656.33 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | United Healthcare Va Ccn | United Healthcare Va Ccn | $1,656.33 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerigroup | Wellcare Medicaid | $1,818.75 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Cigna Health And Life | Cigna Health And Life | $1,862.34 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Qualcare Health Republic Nj | Commercial | $1,891.50 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Harvard Pilgrim Health Care | Marketplace | $2,313.36 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Harvard Pilgrim | Littleton Options | $2,502.47 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | United Healthcare Freedom Plan | Epo Ppo | $2,754.00 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Harvard Pilgrim Health Care | Elevate Health | $2,974.32 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Blue Cross Blue Shield | Tvhp | $3,029.40 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Blue Cross Blue Shield Vt | Managed | $3,066.12 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Anthem Blue Cross Blue Shield | Hmo Pos | $3,066.49 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Anthem Blue Cross Blue Shield | Ppo | $3,066.49 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Blue Cross Blue Shield Vt | Non Managed | $3,139.56 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Anthem Blue Cross Blue Shield | Fep | $3,215.20 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Oxford | $3,233.66 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Harvard Pilgrim Health Care | All Other | $3,271.75 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Anthem Blue Cross Blue Shield | Indemnity | $3,282.40 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Aetna | Aetna | $3,341.52 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Multiplan | Multiplan | $3,488.40 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | United Healthcare | All Payer | $3,543.48 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Coventry First Health | Coventry First Health | $3,598.56 | $3,672.00 | $2,129.76 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Brighton | Commercial | $4,001.25 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER Both | All Payers | All Plans | $4,053.06 | $4,053.06 | $3,972.00 | 2025-12-31 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Lvn | $4,365.00 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Liberty Mutual | Commercial | $4,417.38 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Omnia | $4,439.93 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | State Health Benefit Plan | $4,790.59 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Commercial | $4,850.24 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Indemnity | $5,144.15 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Ppo Hmo | $5,144.15 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER Both | All Payers | All Plans | $5,220.00 | $5,220.00 | $5,115.60 | 2025-12-31 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | First Mco | Workers Comp | $5,456.25 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Rp | $5,456.25 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Healthnet | Tricare | $5,456.25 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Municiple Joint Insurance Fund | $5,456.25 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Qualcare Health Republic Of Nj Humana | Workers' Comp | $5,456.25 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Workers Compensation | $5,820.00 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Magnacare | Auto Personal Injury Protection No Fault | $6,183.75 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | First Mco | Group Health | $6,183.75 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Mulitplan | Commercial | $6,183.75 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Magnacare | Commercial | $6,183.75 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Magnacare | Workers' Compensation | $6,183.75 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Commercial | $6,183.75 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CTR Both | All Payers | All Plans | $6,246.00 | $6,246.00 | $6,121.08 | 2025-12-31 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Galaxy | Commercial | $6,547.50 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Automobile/Pip | $6,547.50 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Galaxy | Workers Comp | $6,911.25 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Multiplan | Auto Workers' Compensation | $7,275.00 | $7,275.00 | $7,275.00 | 2026-07-15 | MRF ↗ |