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HANK Price Transparency. (n.d.).
Injection, fomepizole, 15 mg (OTHER J1451) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 30, 2026 , from http://ppman.hank.ai/transparency/procedure/J1451/by-state?code_type=OTHER
“Injection, fomepizole, 15 mg (OTHER J1451) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/J1451/by-state?code_type=OTHER. Accessed
June 30, 2026 .
“Injection, fomepizole, 15 mg (OTHER J1451) by State,” HANK Price Transparency ,
accessed June 30, 2026 ,
http://ppman.hank.ai/transparency/procedure/J1451/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
J1451 — Injection, Fomepizole, 15 Mg
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$10
National median
$6 – $24
IQR (p25 – p75)
178
hospitals filing
35
states
Walking in without insurance?
Cash / self-pay price
Cash median
$71
vs. negotiated
+590.8%
Hospitals reporting
70
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 J1451 (OTHER), with interquartile range
State Median p25 p75
DC $1,361 $1,330 $2,346
WA $660 $7 $660
MN $589 $7 $1,052
NM $56 $7 $2,462
TX $34 $34 $2,043
NV $29 $29 $3,902
IL $25 $10 $361
NY $21 $7 $249
IN $20 $10 $29
ID $17 $17 $18
FL $16 $7 $108
MT $16 $11 $16
CO $14 $10 $50
VA $13 $6 $264
AR $12 $7 $14
SC $12 $6 $3,040
NH $11 $7 $15
MS $11 $11 $11
CA $10 $6 $31
MO $8 $6 $8
NC $7 $6 $9
TN $7 $6 $17
UT $7 $6 $7
PA $7 $6 $13
AL $7 $6 $7
KY $7 $6 $9
GA $7 $6 $10
OH $7 $6 $100
WV $6 $6 $6
MI $6 $3 $7
OK $6 $6 $6
OR $6 $6 $9
HI $6 $6 $8
AZ $6 $6 $8
NJ $1 $1 $1