How much does Fomepizole Injection cost?

$12.88per 15 mg

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $12.88 for each 15 mg of this drug. The price depends on where it is billed: about $12.88 from a physician practice, and about $13.18 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 15 mg. Enter the amount given to see what insurers have agreed to pay for it.

Amount givenmg

In a doctor's office or clinic: $12.88
At a hospital outpatient department: $13.18

The same drug, in the same amount, costs 2% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$12.88	$12.30 to $13.49
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$13.18	$12.88 to $13.80

How much rates vary

Facilitymedian $13 · 10th to 90th $13 to $17Professionalmedian $13 · 10th to 90th $12 to $13

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88	Professional	None	$12.88	$12.88	$12.88
BCBS Rhode Island Setting Facility Modifier None Typical Low $12.88 Median $13.18 Typical High $13.80	Facility	None	$12.88	$13.18	$13.80
BCBS Rhode Island Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49	Professional	None	$13.49	$13.49	$13.49
Cigna Setting Facility Modifier None Typical Low $12.88 Median $16.60 Typical High $24.55	Facility	None	$12.88	$16.60	$24.55
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88	Professional	None	$12.88	$12.88	$12.88
United Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17	Facility	None	$6.17	$6.17	$6.17
United Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30	Professional	None	$12.30	$12.30	$12.30

Where Rhode Island sits

The same service costs 3.0 times more in Arizona than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Rhode Island· 12th of 51

$12.88

AZ $21.38HI $7.24

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.