J1451 — Fomepizole 1 Gram/ml Intravenous Solution
$1,055
National median
$16 – $2,420
IQR (p25 – p75)
2,589
hospitals filing
52
states
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
| State | Median | p25 | p75 |
|---|---|---|---|
| PR | $5,400 | $5,400 | $5,400 |
| UT | $3,315 | $77 | $4,537 |
| CO | $2,884 | $1,173 | $4,884 |
| OR | $2,772 | $88 | $5,456 |
| ID | $2,580 | $1,678 | $3,086 |
| WY | $2,286 | $1,005 | $2,965 |
| MD | $2,173 | $1,097 | $3,484 |
| HI | $2,022 | $7 | $3,150 |
| GA | $1,950 | $14 | $4,831 |
| MI | $1,923 | $13 | $3,767 |
| MO | $1,907 | $891 | $2,958 |
| KS | $1,821 | $15 | $4,118 |
| OH | $1,771 | $616 | $2,530 |
| NE | $1,402 | $366 | $3,614 |
| MA | $1,334 | $431 | $2,007 |
| ND | $1,286 | $18 | $2,873 |
| IA | $1,243 | $911 | $2,692 |
| WI | $1,237 | $927 | $1,311 |
| LA | $1,190 | $14 | $1,710 |
| TX | $1,158 | $17 | $2,379 |
| CT | $1,154 | $14 | $2,295 |
| NC | $1,122 | $136 | $2,312 |
| MT | $1,102 | $12 | $4,684 |
| IN | $1,034 | $12 | $2,488 |
| MN | $978 | $32 | $1,230 |
| MS | $892 | $11 | $1,223 |
| SD | $887 | $374 | $1,717 |
| VT | $866 | $97 | $1,561 |
| DE | $836 | $7 | $3,932 |
| AK | $780 | $60 | $2,976 |
| OK | $750 | $7 | $876 |
| KY | $733 | $17 | $2,597 |
| AR | $703 | $7 | $1,918 |
| FL | $696 | $37 | $2,244 |
| NY | $628 | $13 | $1,626 |
| WV | $538 | $7 | $3,456 |
| IL | $467 | $12 | $2,078 |
| NV | $110 | $15 | $1,025 |
| PA | $108 | $11 | $1,994 |
| NH | $56 | $18 | $2,324 |
| ME | $49 | $20 | $1,968 |
| SC | $48 | $7 | $2,394 |
| VA | $40 | $13 | $864 |
| DC | $39 | $23 | $396 |
| CA | $38 | $8 | $2,925 |
| AZ | $34 | $7 | $780 |
| NJ | $33 | $13 | $854 |
| AL | $29 | $7 | $1,530 |
| NM | $22 | $8 | $863 |
| WA | $20 | $10 | $2,722 |
| TN | $18 | $7 | $1,106 |
| RI | $13 | $8 | $1,395 |