Fomepizole 1 gram/ml intravenous solution cost in Pennsylvania
FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION · HCPCS J1451
$553.70
lowest in Pennsylvania
$3,905.40
state median
$16,285.80
highest in Pennsylvania
$2,511.73
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Uniontown Hospital | Uniontown | $553.70 | $6.18 – $14.40 | 20 |
| UPMC Community Osteopathic | Harrisburg | $600.00 | $6.22 – $558.45 | 14 |
| UPMC Hanover | Hanover | $600.00 | $6.22 – $10.05 | 8 |
| UPMC Lititz | Lititz | $600.00 | $6.22 – $10.05 | 6 |
| UPMC Memorial | York | $600.00 | $6.55 – $19.12 | 8 |
| UPMC Somerset | Somerset | $600.00 | $6.22 – $6.78 | 5 |
| UPMC Carlisle | Carlisle | $600.00 | $3.45 – $558.45 | 16 |
| UPMC Altoona | Altoona | $1,671.60 | $6.40 – $23.46 | 12 |
| UPMC Kane | Kane | $2,254.80 | $10.16 – $14.40 | 2 |
| UPMC Cole | Coudersport | $2,265.60 | $14.40 – $3,020.80 | 14 |
| WellSpan Chambersburg Hospital | Chambersburg | $2,718.00 | $7.40 – $4,511.50 | 21 |
| UPMC Jameson | New Castle | $2,932.80 | $6.28 – $23.87 | 10 |
| UPMC Hamot | Erie | $3,905.40 | $6.28 – $15.30 | 12 |
| WellSpan Gettysburg Hospital | Gettysburg | $4,584.20 | $7.40 – $4,511.50 | 21 |
| WellSpan Good Samaritan Hospital | Lebanon | $5,021.60 | $7.40 – $4,511.50 | 21 |
| UPMC Williamsport | Williamsport | $5,244.60 | $6.28 – $6.78 | 8 |
| UPMC Muncy | Muncy | $5,244.60 | $6.28 – $6.28 | 1 |
| UPMC Wellsboro | Wellsboro | $5,244.60 | $6.28 – $6.28 | 1 |
| UPMC East | Monroeville | $6,012.60 | $6.16 – $80.00 | 14 |
| UPMC Horizon-Greenville | Greenville | $6,093.60 | $5.62 – $11.78 | 10 |
| UPMC Magee | Pittsburgh | $6,093.60 | $5.88 – $23.68 | 7 |
| UPMC Mercy | Pittsburgh | $6,465.00 | $5.24 – $23.46 | 7 |
| UPMC Passavant-McCandless | Pittsburgh | $7,203.60 | $5.84 – $23.68 | 9 |
| UPMC Presbyterian | Pittsburgh | $7,431.60 | $6.66 – $23.68 | 8 |
| UPMC McKeesport | Mckeesport | $9,369.00 | $5.82 – $23.68 | 7 |
| UPMC St. Margaret | Pittsburgh | $16,285.80 | $5.42 – $23.68 | 6 |