Fomepizole 1 gram/ml intravenous solution at Mercy Gilbert Medical Center
3555 S Val Vista Dr, Gilbert, AZ · CommonSpirit Health · · NPI 1992735088
$2,471.57
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$10,047.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$4.96 with Health Choice vs $7,736.19 with MultiPlan — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Health Choice | Medicaid|All Plans | $4.96 | ↓ -100% |
| United | Medicaid|All Plans | $4.96 | ↓ -100% |
| Care 1st | Medicare|All Plans | $6.42 | ↓ -100% |
| Humana | Medicare|All Plans | $6.42 | ↓ -100% |
| Aetna | Medicare|All Plans | $6.42 | ↓ -100% |
| First Health | Medicare|All Plans | $6.42 | ↓ -100% |
| Cigna | Medicare|All Plans | $6.42 | ↓ -100% |
| BCBS - AZ | Medicare|All Plans | $6.42 | ↓ -100% |
| Health Choice | Medicare|All Plans | $6.42 | ↓ -100% |
| Mercy Care Plan | Medicaid|All Plans | $6.42 | ↓ -100% |
| Mercy Care Plan | Medicare|All Plans | $6.42 | ↓ -100% |
| United | Medicare|All Plans | $6.59 | ↓ -100% |
| United | Commercial|Navigate | $7.52 | ↓ -100% |
| United | Commercial|Options PPO | $7.52 | ↓ -100% |
| United | Commercial|All Other Plans | $7.52 | ↓ -100% |
| Cigna | Commercial|Exchange | $15.98 | ↓ -99% |
| Cigna | Commercial|LocalPlus SureFit | $17.14 | ↓ -99% |
| BCBS - AZ | Commercial|All Other Plans | $21.13 | ↓ -99% |
| BCBS - AZ | Commercial|MaricopaFocus | $21.13 | ↓ -99% |
| BCBS - AZ | Commercial|Neighborhood | $21.13 | ↓ -99% |
| BCBS - AZ | Commercial|Workers Comp | $21.13 | ↓ -99% |
| Cigna | Commercial|PPO | $22.56 | ↓ -99% |
| Cigna | Commercial|All Other Plans | $22.56 | ↓ -99% |
| Aetna | Commercial|HMO | $87.37 | ↓ -96% |
| Aetna | Commercial|All Other Plans | $87.37 | ↓ -96% |
| Aetna | Commercial|PPO | $87.37 | ↓ -96% |
| United | Commercial|DignityHealthEmployee | $1,406.58 | ↓ -43% |
| Connected Care | Commercial|Intel | $3,918.33 | ↑ +59% |
| First Health | Commercial|All Plans | $5,425.38 | ↑ +120% |
| MultiPlan | Commercial|All Plans | $7,736.19 | ↑ +213% |
Visitor-reported prices
Comments
Fomepizole 1 gram/ml intravenous solution at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arizona General Hospital Laveen | Phoenix | $2,300.77 | $4.96 – $8,208.40 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $1,806.10 | $4.96 – $3,735.12 |
| Yavapai Regional Medical Center (East) | Prescott | $2,279.43 | $4.96 – $2,611.20 |
| Arizona General Hospital Mesa | Mesa | $2,481.61 | $4.96 – $8,208.40 |
| Chandler Regional Medical Center | Chandler | $2,692.60 | $4.96 – $8,439.48 |