HCPCS J1451
Injection, fomepizole, 15 mg
Current code45 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $6.41 – $7.05 | — | — |
| Cascade Valley Hospital | $6.16 – $6.47 | $2,419 | $3,024 |
| Deaconess Medical Center | $6.41 – $7.05 | $10.25 – $11.47 | $25.62 – $28.67 |
| Harborview Medical Center | $6.28 – $6.90 | — | — |
| Highline Medical Center | $6.71 – $7.72 | $1,860 – $2,930 | $6,091 – $9,597 |
| Island Hospital | $7.34 – $7.78 | — | — |
| Kadlec Regional Medical Center | $6.54 – $7.85 | $1,225 – $2,366 | $1,751 – $3,380 |
| Legacy Salmon Creek Medical Center | $6.74 – $7.32 | — | — |
| Mary Bridge Children's Hospital | $6.41 – $7.05 | $9.53 – $12.04 | $23.82 – $30.10 |
| MultiCare Auburn Medical Center | $6.41 – $7.05 | $7.86 – $8.16 | $19.64 – $20.38 |
| MultiCare Covington Medical Center | $6.41 – $7.05 | — | — |
| MultiCare Good Samaritan Hospital | $6.41 – $7.05 | $7.73 – $9.06 | $19.31 – $22.63 |
| MultiCare Valley Hospital | $6.60 – $7.05 | $10.14 | $25.33 |
| Olympic Medical Center | $7.71 – $9.91 | $1,494 | $1,868 |
| Overlake Hospital Medical Center & Clinics | $6.54 – $6.80 | $164 – $565 | $328 – $1,129 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $6.54 – $7.85 | $1,337 – $2,581 | $1,910 – $3,687 |
| Providence Centralia Hospital | $6.54 – $10.46 | $1,867 | $3,591 |
| Providence Holy Family Hospital | $6.54 – $7.19 | $1,337 – $2,581 | $1,910 – $3,687 |
| Providence Mount Carmel Hospital | — | $1,337 – $2,581 | $1,910 – $3,687 |
| Providence Regional Medical Center Everett | $6.54 – $7.19 | $2,301 | $4,426 |
| Providence St Joseph Hospital | — | $1,572 – $2,581 | $2,246 – $3,687 |
| Providence St Mary Medical Center | $6.54 – $7.19 | $2,382 – $2,860 | $3,402 – $4,086 |
| Providence St Peter Hospital | $6.54 – $10.46 | $1,867 – $2,923 | $3,591 – $5,622 |
| Seattle Children's Hospital | — | $9,800 | $9,800 |
| Skagit Valley Hospital | $6.16 – $6.65 | $2,419 | $3,024 |
| St Anthony Hospital | $6.83 – $7.85 | $1,853 – $2,919 | $6,091 – $9,597 |
| St Clare Hospital | $6.98 – $8.03 | $1,756 – $2,766 | $6,091 – $9,597 |
| St Elizabeth Hospital | $1,096 – $2,111 | $2,152 – $3,391 | $6,091 – $9,597 |
| St Francis Community Hospital | $6.71 – $7.72 | $1,911 – $3,012 | $6,091 – $9,597 |
| St Joseph Medical Center | $6.83 – $9.05 | $2,017 – $3,178 | $6,091 – $9,597 |
| St Michael Medical Center | $7.02 – $8.00 | $2,688 – $4,236 | $6,091 – $9,597 |
| Swedish Edmonds Hospital | $6.54 – $7.85 | $1,301 – $2,512 | $2,710 – $5,233 |
| Swedish Issaquah | $6.54 – $7.85 | $2,512 | $5,233 |
| Swedish Medical Center | $6.54 – $7.85 | $1,301 | $2,710 |
| Swedish Medical Center / Cherry Hill | $6.54 – $7.85 | $1,530 – $2,512 | $3,188 – $5,233 |
| Tacoma General Allenmore Hospital | $6.41 – $7.05 | $7.14 – $13.21 | $17.85 – $33.02 |
| University of Washington Medical Ctr | $6.28 – $6.90 | — | — |
| Virginia Mason Medical Center | $4.40 – $6.59 | $16.44 | $32.24 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $6.41 – $7.18 | $7.80 – $8.30 | $19.48 – $20.74 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $6.14 (APC 1689)
- Surgery center payment (national)
- $6.14