Fomepizole 1 gram/ml intravenous solution cost in Nebraska
FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION · HCPCS J1451
$420.72
lowest in Nebraska
$2,880.99
state median
$5,830.58
highest in Nebraska
$2,481.61
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| CHI Health Nebraska Heart | Lincoln | $420.72 | $6.83 – $749.98 | 13 |
| CHI Health St. Elizabeth | Lincoln | $457.30 | $6.83 – $731.68 | 9 |
| CHI Health St. Francis | Grand Island | $539.62 | $6.83 – $859.73 | 10 |
| CHI Health Good Samaritan | Kearney | $557.91 | $5.69 – $850.58 | 10 |
| CHI Health St. Mary's | Nebraska City | $759.12 | $195.91 – $878.02 | 16 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $2,880.99 | $5.69 – $1,589.04 | 11 |
| Lasting Hope Recovery Center | Omaha | $2,880.99 | $7.21 – $1,589.04 | 8 |
| CHI Health Immanuel | Omaha | $2,880.99 | $5.69 – $1,589.04 | 11 |
| CHI Health Lakeside | Omaha | $2,880.99 | $5.69 – $1,589.04 | 11 |
| CHI Health Midlands | Papillion | $2,880.99 | $5.69 – $1,589.04 | 11 |
| CHI Health Plainview | Plainview | $5,761.98 | $1,140.37 – $2,531.61 | 19 |
| CHI Health Schuyler | Schuyler | $5,830.58 | $400.44 – $2,116.60 | 18 |