Fomepizole 1 gram/ml intravenous solution at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$4,250.55
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.
$9,885.00
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.
$6.26 with SMIPA vs $7,908.00 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 |
|---|---|---|---|
| SMIPA | Medicare|All Plans | $6.26 | ↓ -100% |
| BCBS - Anthem | Commercial|Exchange | $7.19 | ↓ -100% |
| Blue Shield CA | Medicare|All Other Plans | $7.66 | ↓ -100% |
| Scan Health Plan | Medicare|All Plans | $7.66 | ↓ -100% |
| Humana | Medicare|All Plans | $7.66 | ↓ -100% |
| Cigna | Medicare|All Plans | $7.66 | ↓ -100% |
| HCLA | Medicare|Preferred IPA | $7.66 | ↓ -100% |
| Health Net | Medicare|HMO | $7.66 | ↓ -100% |
| BCBS - Anthem | Medicare|All Plans | $7.66 | ↓ -100% |
| Molina | Medicare|All Plans | $7.66 | ↓ -100% |
| LA Care | Medicare|All Plans | $7.66 | ↓ -100% |
| Central Health Plan | Medicare|All Plans | $7.66 | ↓ -100% |
| Kaiser | Medicare|All Plans | $7.66 | ↓ -100% |
| EasyChoice | Medicare|All Plans | $7.66 | ↓ -100% |
| Health Net | Medicare|All Other Plans | $7.66 | ↓ -100% |
| United | Medicare|All Plans | $7.82 | ↓ -100% |
| HPN | Medicare|Senior | $8.43 | ↓ -100% |
| United | Commercial|Non-Options PPO | $8.88 | ↓ -100% |
| Health Net | Commercial|EPPO | $9.40 | ↓ -100% |
| Blue Shield CA | Medicare|Trauma | $9.57 | ↓ -100% |
| LA Care | Commercial|All Plans | $9.57 | ↓ -100% |
| HCLA | Commercial|Preferred IPA | $9.57 | ↓ -100% |
| United | Commercial|Options PPO | $10.16 | ↓ -100% |
| United | Commercial|HMO | $10.16 | ↓ -100% |
| United | Commercial|All Other Plans | $10.16 | ↓ -100% |
| BCBS - Anthem | Commercial|All Other Plans | $10.73 | ↓ -100% |
| Health Net | Commercial|Care Product | $11.52 | ↓ -100% |
| SevenCorners | Medicare|All Plans | $12.26 | ↓ -100% |
| Health Net | Commercial|All Other Plans | $13.19 | ↓ -100% |
| Noble IPA | Medicaid|< 21 | $13.50 | ↓ -100% |
| Noble IPA | Medicaid|> 21 | $13.50 | ↓ -100% |
| Preferred IPA | Medicaid|Risk | $15.00 | ↓ -100% |
| HCLA | Medicaid|Preferred IPA > 21 | $15.00 | ↓ -100% |
| HCLA | Medicaid|Preferred IPA < 21 | $15.00 | ↓ -100% |
| Blue Shield CA | Commercial|All Other Plans | $15.16 | ↓ -100% |
| Blue Shield CA | Commercial|Exchange | $15.16 | ↓ -100% |
| BCBS - Anthem | Commercial|MCS | $16.62 | ↓ -100% |
| BCBS - Anthem | Medicaid|All Plans | $18.52 | ↓ -100% |
| Angeles IPA | Medicare|All Plans | $19.46 | ↓ -100% |
| Health Net | Medicaid|< 21 | $20.00 | ↓ -100% |
| Health Net | Medicaid|> 21 | $20.00 | ↓ -100% |
| Molina | Medicaid|All Plans | $21.00 | ↓ -100% |
| Aetna | Commercial|HMO | $31.52 | ↓ -99% |
| Aetna | Commercial|All Other Plans | $31.52 | ↓ -99% |
| Aetna | Commercial|PPO | $31.52 | ↓ -99% |
| LA Care | Medicaid|All Plans | $61.80 | ↓ -99% |
| Care 1st | Medicaid|All Plans | $75.00 | ↓ -98% |
| Blue Shield CA | Medicaid|All Plans | $75.00 | ↓ -98% |
| DHR | Medicaid|< 21 | $2,471.25 | ↓ -42% |
| DHR | Medicaid|> 21 | $2,471.25 | ↓ -42% |
| Cigna | Commercial|PPO | $4,547.10 | ↑ +7% |
| Cigna | Commercial|All Other Plans | $4,547.10 | ↑ +7% |
| Blue Shield CA | Medicare|BlueShield Promise | $6,425.25 | ↑ +51% |
| Kaiser | Commercial|All Plans | $6,919.50 | ↑ +63% |
| MultiPlan | Commercial|All Plans | $7,908.00 | ↑ +86% |
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 |