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HCPCS J1451

Injection, fomepizole, 15 mg

Current code45 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Unknown: The source file doesn't say which population this rate applies to.

HospitalUnknown rates (lowest – highest)Cash priceList price (before discounts)
Cascade Valley HospitalArlington—$2,419$3,024
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$10.25 – $11.47$25.62 – $28.67
Highline Medical CenterBurienFile dated 2026-02-28—$1,860 – $2,930$6,091 – $9,597
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$1,225 – $2,366$1,751 – $3,380
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$9.53 – $12.04$23.82 – $30.10
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$7.86 – $8.16$19.64 – $20.38
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$7.73 – $9.06$19.31 – $22.63
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$10.14$25.33
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1,819 – $1,8686 plans$1,494$1,868
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$164 – $565$328 – $1,129
PeaceHealth Peace Island Medical CenterFriday Harbor—$740 – $1,056$1,138 – $1,624
PeaceHealth Southwest Medical CenteVancouver—$740 – $1,056$1,138 – $1,624
PeaceHealth St John Medical CenterLongview$6601 plan$740 – $1,056$1,138 – $1,624
PeaceHealth St Joseph Medical CenterBellingham—$740 – $1,056$1,138 – $1,624
PeaceHealth United General Medical CenterSedro Woolley—$740 – $1,056$1,138 – $1,624
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,337 – $2,581$1,910 – $3,687
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$1,867$3,591
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,337 – $2,581$1,910 – $3,687
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$1,337 – $2,581$1,910 – $3,687
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$2,301$4,426
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$1,572 – $2,581$2,246 – $3,687
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$2,382 – $2,860$3,402 – $4,086
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$1,867 – $2,923$3,591 – $5,622
Seattle Children's HospitalSeattle$8,624 – $8,8202 plans$9,800$9,800
Skagit Valley HospitalMount Vernon—$2,419$3,024
St Anthony HospitalGig HarborFile dated 2026-02-28—$1,853 – $2,919$6,091 – $9,597
St Clare HospitalLakewoodFile dated 2026-02-28—$1,756 – $2,766$6,091 – $9,597
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$2,152 – $3,391$6,091 – $9,597
St Francis Community HospitalFederal WayFile dated 2026-02-28—$1,911 – $3,012$6,091 – $9,597
St Joseph Medical CenterTacomaFile dated 2026-02-28—$2,017 – $3,178$6,091 – $9,597
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$2,688 – $4,236$6,091 – $9,597
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$1,301 – $2,512$2,710 – $5,233
Swedish IssaquahIssaquahFile dated 2026-04-01—$2,512$5,233
Swedish Medical CenterSeattleFile dated 2026-04-01—$1,301$2,710
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$1,530 – $2,512$3,188 – $5,233
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$7.14 – $13.21$17.85 – $33.02
Virginia Mason Medical CenterSeattle—$16.44$32.24
Yakima Valley MemorialYakimaFile dated 2026-08-27—$7.80 – $8.30$19.48 – $20.74

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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