Fomepizole 1 gram/ml intravenous solution at Glendale Memorial Hospital Health Center
1420 S Central Ave, Glendale, CA · CommonSpirit Health · · NPI 1477610640
$5,112.01
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.
$15,681.00
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.
$7.66 with United vs $12,544.80 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 |
|---|---|---|---|
| United | Medicare|All Plans | $7.66 | ↓ -100% |
| HCLA | Medicare|Preferred IPA | $7.66 | ↓ -100% |
| Care 1st | Medicare|All Other Plans | $7.66 | ↓ -100% |
| US Behavioral Health | Medicare|All Plans | $7.66 | ↓ -100% |
| DHR | Medicare|All Plans | $7.66 | ↓ -100% |
| Humana | Commercial|All Plans | $7.66 | ↓ -100% |
| CareMore | Medicare|All Plans | $7.66 | ↓ -100% |
| MHN | Commercial|All Plans | $7.66 | ↓ -100% |
| BCBS - Anthem | Medicare|Alhambra Senior | $8.81 | ↓ -100% |
| United | Commercial|Navigate | $8.88 | ↓ -100% |
| Health Net | Medicare|All Plans | $9.10 | ↓ -100% |
| BCBS - Anthem | Commercial|Non-MCS | $9.12 | ↓ -100% |
| BCBS - Anthem | Commercial|MCS | $9.12 | ↓ -100% |
| Health Net | Commercial|HCLA | $9.57 | ↓ -100% |
| HCLA | Commercial|Preferred IPA | $9.57 | ↓ -100% |
| HCLA | Commercial|All Other Plans | $9.57 | ↓ -100% |
| LA Care | Commercial|All Plans | $9.57 | ↓ -100% |
| BCBS - Anthem | Commercial|HCLA | $9.57 | ↓ -100% |
| BCBS - Anthem | Commercial|Alhambra | $9.57 | ↓ -100% |
| United | Commercial|PPO | $10.16 | ↓ -100% |
| United | Commercial|Options PPO | $10.16 | ↓ -100% |
| United | Commercial|HMO | $10.16 | ↓ -100% |
| Health Net | Commercial|EPPO | $10.46 | ↓ -100% |
| Health Net | Commercial|Care Product | $13.49 | ↓ -100% |
| Health Net | Commercial|All Other Plans | $14.10 | ↓ -100% |
| HCLA | Medicaid|Preferred IPA < 21 | $15.00 | ↓ -100% |
| Health Net | Medicaid|Preferred IPA | $15.00 | ↓ -100% |
| HCLA | Medicaid|Preferred IPA > 21 | $15.00 | ↓ -100% |
| Blue Shield CA | Commercial|Exchange | $15.16 | ↓ -100% |
| Blue Shield CA | Commercial|All Other Plans | $15.16 | ↓ -100% |
| Health Net | Medicaid|< 21 | $18.39 | ↓ -100% |
| Health Net | Medicaid|> 21 | $18.39 | ↓ -100% |
| Molina | Medicaid|All Plans | $21.00 | ↓ -100% |
| Kaiser | Medicaid|> 21 | $22.50 | ↓ -100% |
| Kaiser | Medicaid|< 21 | $22.50 | ↓ -100% |
| BCBS - Anthem | Medicaid|All Plans | $23.15 | ↓ -100% |
| HPN | Medicaid|< 21 | $23.94 | ↓ -100% |
| HPN | Medicaid|> 21 | $23.94 | ↓ -100% |
| Aetna | Commercial|All Other Plans | $33.17 | ↓ -99% |
| Aetna | Commercial|PPO | $33.17 | ↓ -99% |
| Aetna | Commercial|HMO | $33.17 | ↓ -99% |
| LA Care | Medicaid|All Plans | $63.45 | ↓ -99% |
| Care 1st | Medicaid|All Plans | $75.00 | ↓ -99% |
| HPN | Medicare|All Plans | $2,508.96 | ↓ -51% |
| Health Net | Medicaid|DHR | $3,920.25 | ↓ -23% |
| Cigna | Commercial|PPO | $7,213.26 | ↑ +41% |
| Cigna | Commercial|All Other Plans | $7,213.26 | ↑ +41% |
| Kaiser | Commercial|All Plans | $8,781.36 | ↑ +72% |
| Blue Shield CA | Commercial|Magellan | $9,408.60 | ↑ +84% |
| SCAN | Medicare|All Plans | $9,722.22 | ↑ +90% |
| First Health | Commercial|All Plans | $10,192.65 | ↑ +99% |
| Care 1st | Medicare|BlueShield Promise | $11,760.75 | ↑ +130% |
| MultiPlan | Commercial|All Plans | $12,544.80 | ↑ +145% |
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 |