J1451 — Fomepizole 1 Gram/ml Intravenous Solution
$945
National median
$15 – $2,184
IQR (p25 – p75)
2,068
hospitals filing
52
states
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
| State | Median | p25 | p75 |
|---|---|---|---|
| UT | $3,393 | $1,342 | $4,302 |
| WY | $2,904 | $2,079 | $3,736 |
| GA | $2,724 | $29 | $5,403 |
| OR | $2,687 | $30 | $5,542 |
| MD | $2,632 | $1,702 | $3,819 |
| CO | $2,303 | $1,074 | $3,698 |
| KS | $2,258 | $736 | $5,160 |
| MI | $1,788 | $11 | $3,767 |
| MO | $1,754 | $781 | $2,344 |
| OH | $1,479 | $345 | $2,494 |
| MA | $1,356 | $587 | $1,914 |
| HI | $1,332 | $6 | $3,025 |
| IN | $1,286 | $12 | $2,672 |
| WI | $1,243 | $1,101 | $1,583 |
| IA | $1,243 | $462 | $2,429 |
| NE | $1,202 | $197 | $3,567 |
| CT | $1,154 | $12 | $2,815 |
| DE | $1,146 | $784 | $1,594 |
| LA | $1,035 | $13 | $1,382 |
| NC | $1,018 | $184 | $1,869 |
| ND | $992 | $13 | $2,010 |
| VT | $979 | $7 | $1,862 |
| SD | $924 | $441 | $1,809 |
| MN | $905 | $32 | $1,230 |
| MS | $899 | $12 | $1,223 |
| OK | $876 | $7 | $1,201 |
| TX | $866 | $17 | $2,230 |
| AR | $822 | $9 | $1,906 |
| AK | $787 | $68 | $1,225 |
| AL | $658 | $7 | $3,000 |
| KY | $594 | $26 | $2,958 |
| NY | $473 | $10 | $1,631 |
| IL | $157 | $11 | $2,524 |
| NV | $136 | $14 | $933 |
| FL | $129 | $12 | $2,394 |
| ID | $89 | $20 | $1,868 |
| PA | $77 | $13 | $717 |
| ME | $64 | $25 | $3,092 |
| SC | $56 | $7 | $2,404 |
| NJ | $53 | $13 | $1,223 |
| NM | $46 | $10 | $1,736 |
| DC | $38 | $29 | $45 |
| WV | $36 | $7 | $2,936 |
| VA | $30 | $14 | $82 |
| CA | $28 | $8 | $2,895 |
| NH | $27 | $13 | $1,468 |
| MT | $21 | $7 | $3,450 |
| TN | $20 | $7 | $1,175 |
| WA | $19 | $10 | $2,662 |
| RI | $14 | $11 | $1,498 |
| AZ | $9 | $6 | $45 |
| PR | $6 | $6 | $6 |