Hospital Bill Data

J1451

HCPCS

Fomepizole: 1 Vial, Glass In 1 Carton (67457-211-02) / 1.5 Ml In 1 Vial, Glass

Verified from hospital fileNot a bill estimate
iDirect answer

Based on the latest published hospital price files, code J1451 (Fomepizole: 1 Vial, Glass In 1 Carton (67457-211-02) / 1.5 Ml In 1 Vial, Glass) appears at 35 hospitals with disclosed cash prices from $15.56 to $5,246. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

34
hospitals publish a price
1
list this service without a published price
34
Cash
34
List
30
Negotiated
0
Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare J1451 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Published cash prices for code J1451 vary by about 337× across the 34 hospitals with disclosed prices here — from $15.56 to $5,246. Shopping around can matter.

34
Hospitals
39
Prices shown
$15.56
Lowest cash
$5,246
Highest cash
code J1451 cash price34 disclosed · 34 hospitals
$15.56median ~$2,033$5,246

Cash price by city

Reflects your current filters.

Cash price by city$15.56$2,033
  • Burlington · 1 hospital$15.56
  • Naperville · 1 hospital$46.58
  • Newburgh · 1 hospital$1,037
  • Henderson · 1 hospital$1,236
  • Healdsburg · 1 hospital$1,534
  • Allen · 1 hospital$2,033

39 prices shown.

ServiceHospitalCodeList priceCash priceNegotiated rangeAllowed (median)
Fomepizole: 1 Vial, Glass In 1 Carton (67457-211-02) / 1.5 Ml In 1 Vial, Glass
Inpatient & outpatient
Endeavor Health Edward HospitalJ1451
HCPCS
$46.58$46.58
Fomepizole, 15 mg
Outpatient
Endeavor Health Edward HospitalJ1451
HCPCS
$6.54 – $33.26
Fomepizole: 1 Vial In 1 Carton (0517-0710-01) / 1.5 Ml In 1 Vial
Inpatient & outpatient
University of Chicago Medical CenterJ1451
HCPCS
Fomepizole: 1 Vial, Glass In 1 Carton (67457-211-02) / 1.5 Ml In 1 Vial, Glass
Inpatient & outpatient
University of Chicago Medical CenterJ1451
HCPCS
Fomepizole: 1 Vial In 1 Carton (70710-1478-1) / 1.5 Ml In 1 Vial
Inpatient & outpatient
University of Chicago Medical CenterJ1451
HCPCS
Fomepizole, 15 mg
Outpatient
University of Chicago Medical CenterJ1451
HCPCS
FOMEPIZOLE 1 GM/ML IV SOLN
Inpatient
Deaconess Gateway HospitalJ1451
HCPCS
$3,143$1,037$1,037 – $2,765
FOMEPIZOLE 1.5 GM-1.5ML IV SOLN
Inpatient
Aurora Medical Center BurlingtonJ1451
HCPCS
$31.11$15.56$18.67 – $26.44
fomepizole 1 gm/mL Solution 1.5 mL Vial
Inpatient
Froedtert West Bend HospitalJ1451
HCPCS
$9,539$5,246$4,769 – $9,062
fomepizole 1 gm/mL Solution 1.5 mL Vial
Inpatient
Froedtert Holy Family Memorial HospitalJ1451
HCPCS
$5,438$2,991$2,719 – $4,785
fomepizole 1 gm/mL Solution 1.5 mL Vial
Inpatient
Froedtert Community Hospital - MequonJ1451
HCPCS
$5,928$3,260$3,557 – $5,216
fomepizole 1 gm/mL Solution 1.5 mL Vial
Outpatient
Froedtert Community Hospital - New BerlinJ1451
HCPCS
$5,928$3,260$6.28 – $5,216
fomepizole 1 gm/mL Solution 1.5 mL Vial
Inpatient
Froedtert Community Hospital - Oak CreekJ1451
HCPCS
$5,928$3,260$3,557 – $5,216
FOMEPIZOLE 1 GM/ML IV SOLN
Inpatient
Henderson HospitalJ1451
HCPCS
$4,122$1,236$1,195 – $3,998
FOMEPIZOLE 1 GM/ML IV SOLN
Inpatient
Deaconess Illinois Medical CenterJ1451
HCPCS
$19,741$3,751$3,751 – $17,766
FOMEPIZOLE INJ 1 GM/ML (FOR IV INFUSION)
Inpatient & outpatient
Providence Kodiak Island Medical CenterJ1451
HCPCS
$2,925$2,282
FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLN [11594]
Outpatient
Texas Health Presbyterian Hospital AllenJ1451
HCPCS
$3,388$2,033$6.28 – $3,189
FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLN [11594]
Outpatient
Texas Health Harris Methodist Hospital AllianceJ1451
HCPCS
$3,388$2,033$6.28 – $3,189
FOMEPIZOLE INJ 1 GM/ML (FOR IV INFUSION)
Inpatient & outpatient
Providence Valdez Medical CenterJ1451
HCPCS
$3,552$2,771
FOMEPIZOLE INJ 1 GM/ML (FOR IV INFUSION)
Inpatient & outpatient
Healdsburg HospitalJ1451
HCPCS
$3,007$1,534
FOMEPIZOLE INJ 1 GM/ML (FOR IV INFUSION)
Inpatient & outpatient
Providence Little Co of Mary Med Center San PedroJ1451
HCPCS
$11,223$3,928
FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLN [11594]
Inpatient
Texas Health Arlington Memorial HospitalJ1451
HCPCS
$3,388$2,033$1,172 – $3,189
FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLN [11594]
Outpatient
Texas Health Harris Methodist Hospital AzleJ1451
HCPCS
$3,388$2,033$6.28 – $3,189
FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLN [11594]
Inpatient
Texas Health Harris Methodist Hospital CleburneJ1451
HCPCS
$3,388$2,033$1,172 – $3,253
FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLN [11594]
Outpatient
Texas Health Presbyterian Hospital DallasJ1451
HCPCS
$3,388$2,033$6.28 – $3,189

How to read these prices

Cash price
The discounted self-pay price for paying directly, without insurance.
List price
The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate
A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount
A historical reference for what was actually allowed, where disclosed.

Hospitals that publish J1451 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Deaconess Gateway Hospital Aurora Medical Center Burlington Froedtert West Bend Hospital Froedtert Holy Family Memorial Hospital Froedtert Community Hospital - Mequon Froedtert Community Hospital - New Berlin Froedtert Community Hospital - Oak Creek Henderson Hospital Deaconess Illinois Medical Center Providence Kodiak Island Medical Center Texas Health Presbyterian Hospital Allen Texas Health Harris Methodist Hospital Alliance Providence Valdez Medical Center Healdsburg Hospital Providence Little Co of Mary Med Center San Pedro Texas Health Arlington Memorial Hospital Texas Health Harris Methodist Hospital Azle Texas Health Harris Methodist Hospital Cleburne Texas Health Presbyterian Hospital Dallas Texas Health Presbyterian Hospital Denton Texas Health Presbyterian Hospital Flower Mound Texas Health Harris Methodist Hospital Fort Worth Texas Health Hospital Frisco Texas Health Heart & Vascular Hospital Arlington Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Texas Health Presbyterian Hospital Kaufman Texas Health Presbyterian Hospital Plano Texas Health Hospital Rockwall Texas Health Harris Methodist Hospital Southlake Texas Health Harris Methodist Hospital Southwest Fort Worth Texas Health Specialty Hospital Fort Worth Texas Health Springwood Hospital Hurst-Euless-Bedford Texas Health Harris Methodist Hospital Stephenville

Code J1451: frequently asked

What does code J1451 cost?
Across the published hospital price files, the disclosed cash price for J1451 ranges from $15.56 to $5,246. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?
Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code J1451?
J1451 is the billing code hospitals use to identify "Fomepizole: 1 Vial, Glass In 1 Carton (67457-211-02) / 1.5 Ml In 1 Vial, Glass" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?
Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not
It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

Related