Fomepizole 1 gram/ml intravenous solution at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,277.49
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.
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What you pay up front if you don't use insurance.
$8,312.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$1.88 with BCBS - Anthem vs $3,759.90 with MultiPlan — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|Connection EPO | $1.88 | ↓ -100% |
| BCBS - Anthem | Commercial|All Other Plans | $2.35 | ↓ -100% |
| BCBS - Anthem | Commercial|MCS | $3.28 | ↓ -100% |
| BCBS - Anthem | Medicare|All Other Plans | $7.47 | ↓ -100% |
| Kaiser | Medicare|All Plans | $7.92 | ↓ -100% |
| Humana | Medicare|All Plans | $7.92 | ↓ -100% |
| Aetna | Medicare|All Plans | $7.92 | ↓ -100% |
| Blue Shield CA | Medicare|PPO | $7.92 | ↓ -100% |
| Humana | Commercial|All Plans | $7.92 | ↓ -100% |
| Molina | Medicare|All Plans | $7.92 | ↓ -100% |
| United | Medicare|All Plans | $7.92 | ↓ -100% |
| Blue Shield CA | Medicare|HMO | $7.92 | ↓ -100% |
| BCBS - Anthem | Medicare|Imperial | $8.16 | ↓ -100% |
| BrightHealth | Commercial|All Plans | $8.71 | ↓ -100% |
| United | Commercial|Non-Options PPO | $8.88 | ↓ -100% |
| BlueShield | Medicare|Trauma | $9.90 | ↓ -100% |
| United | Commercial|All Other Plans | $10.16 | ↓ -100% |
| United | Commercial|Options PPO | $10.16 | ↓ -100% |
| United | Commercial|HMO | $10.16 | ↓ -100% |
| Prison Healthcare | Medicaid|All Plans | $11.88 | ↓ -99% |
| Western Health Advantage | Commercial|All Plans | $12.74 | ↓ -99% |
| Partnership Health Plan | Medicaid|All Plans | $15.00 | ↓ -99% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $15.16 | ↓ -99% |
| Blue Shield CA | Commercial|PPO | $15.16 | ↓ -99% |
| Blue Shield CA | Commercial|Exchange | $15.16 | ↓ -99% |
| Blue Shield CA | Commercial|HMO | $15.16 | ↓ -99% |
| Blue Shield CA | Commercial|ACO Trio | $15.16 | ↓ -99% |
| Blue Shield CA | Commercial|CalPers | $15.16 | ↓ -99% |
| Blue Shield CA | Commercial|PPO Tandem | $15.16 | ↓ -99% |
| Hill Physicians | Medicaid|All Plans | $16.50 | ↓ -99% |
| Health Net | Commercial|EPPO | $21.98 | ↓ -99% |
| Molina | Medicaid|All Plans | $28.20 | ↓ -99% |
| Cigna | Commercial|LocalPlus | $29.98 | ↓ -99% |
| Aetna | Commercial|PPO | $32.53 | ↓ -99% |
| Aetna | Commercial|All Other Plans | $32.53 | ↓ -99% |
| Aetna | Commercial|HMO | $32.53 | ↓ -99% |
| California Health & Wellness | Medicaid|All Plans | $34.35 | ↓ -98% |
| Health Net | Medicaid|All Plans | $34.35 | ↓ -98% |
| BCBS - Anthem | Medicaid|All Plans | $35.19 | ↓ -98% |
| Cigna | Commercial|All Other Plans | $39.98 | ↓ -98% |
| Health Net | Commercial|FFS | $40.02 | ↓ -98% |
| WCMG | Commercial|All Plans | $498.30 | ↓ -78% |
| Kaiser | Medicaid|All Plans | $1,857.30 | ↓ -18% |
| Kaiser | Commercial|All Plans | $2,446.20 | ↑ +7% |
| First Health | Commercial|All Plans | $3,397.50 | ↑ +49% |
| Healthsmart | Commercial|All Plans | $3,397.50 | ↑ +49% |
| Sutter Health | Commercial|All Plans | $3,624.00 | ↑ +59% |
| MultiPlan | Commercial|All Plans | $3,759.90 | ↑ +65% |
Visitor-reported prices
Comments
Fomepizole 1 gram/ml intravenous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,461.61 | $1.57 – $2,340.00 |
| Petaluma Valley Hospital | Petaluma | $2,461.64 | $1.47 – $13.24 |
| Arroyo Grande Hospital | Santa Maria | $6,490.62 | $2.60 – $12,075.56 |
| French Hospital | San Luis Obispo | $4,830.23 | $7.66 – $12,075.56 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,068.55 | $5.58 – $3,606.40 |
| Bakersfield Memorial Hospital | Bakersfield | $3,035.46 | $2.34 – $3,561.32 |
| Healdsburg Hospital | Healdsburg | $1,533.82 | $3.74 – $25.16 |
| Redwood Memorial Hospital | Fortuna | $1,533.82 | $1.90 – $1.90 |