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HANK Price Transparency. (n.d.).
Fomepizole (OTHER 1689) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 30, 2026 , from http://ppman.hank.ai/transparency/procedure/1689/by-state?code_type=OTHER
“Fomepizole (OTHER 1689) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/1689/by-state?code_type=OTHER. Accessed
June 30, 2026 .
“Fomepizole (OTHER 1689) by State,” HANK Price Transparency ,
accessed June 30, 2026 ,
http://ppman.hank.ai/transparency/procedure/1689/by-state?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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OTHER · across United States
1689 — Fomepizole
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$7
National median
$6 – $7
IQR (p25 – p75)
233
hospitals filing
32
states
Walking in without insurance?
Cash / self-pay price
Cash median
$1,315
vs. negotiated
+19916.2%
Hospitals reporting
4
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 1689 (OTHER), with interquartile range
State Median p25 p75
IL $435 $435 $435
WA $9 $7 $10
ND $9 $8 $10
MS $9 $7 $9
SD $8 $8 $9
NJ $7 $7 $12
TX $7 $6 $7
NC $7 $7 $7
TN $7 $6 $7
FL $7 $6 $7
VA $7 $6 $7
SC $7 $6 $7
GA $7 $6 $7
AK $6 $6 $7
IN $6 $6 $7
UT $6 $6 $6
ID $6 $6 $7
KS $6 $6 $7
CA $6 $6 $7
KY $6 $6 $6
NH $6 $6 $7
CO $6 $6 $6
NV $6 $6 $11
LA $6 $6 $7
MO $6 $6 $7
WI $6 $6 $6
MI $6 $6 $6
NY $6 $6 $7
DC $6 $6 $6
OK $6 $6 $6
HI $6 $6 $6
NE $6 $6 $6