Fomepizole 1 gram/ml intravenous solution at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$3,600.00
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.
$8,000.00
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.
$2.16 with BCBS - Anthem vs $6,800.00 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|All Other Plans | $2.16 | ↓ -100% |
| BCBS - Anthem | Commercial|MCS | $3.01 | ↓ -100% |
| Kaiser | Medicare|All Plans | $8.28 | ↓ -100% |
| United | Medicare|All Plans | $8.28 | ↓ -100% |
| Health Net | Medicare|All Plans | $8.28 | ↓ -100% |
| Blue Shield CA | Medicare|All Plans | $8.28 | ↓ -100% |
| United | Commercial|Non-Options PPO | $8.88 | ↓ -100% |
| Blue Shield CA | Commercial|DHMF | $9.44 | ↓ -100% |
| United | Commercial|Options PPO | $10.00 | ↓ -100% |
| United | Commercial|HMO | $10.16 | ↓ -100% |
| United | Commercial|All Other Plans | $10.16 | ↓ -100% |
| COSC Psych | Medicaid|All Plans | $15.00 | ↓ -100% |
| Central California Alliance for Health | Medicaid|All Plans | $15.00 | ↓ -100% |
| Blue Shield CA | Commercial|All Other Plans | $19.33 | ↓ -99% |
| Blue Shield CA | Commercial|ACO Trio | $19.33 | ↓ -99% |
| Blue Shield CA | Commercial|Exchange | $19.33 | ↓ -99% |
| Health Net | Medicaid|< 21 | $22.69 | ↓ -99% |
| Health Net | Medicaid|> 21 | $22.69 | ↓ -99% |
| Health Net | Commercial|Community Care | $25.47 | ↓ -99% |
| Sutter Health | Commercial|All Plans | $25.92 | ↓ -99% |
| Health Net | Commercial|Care Product | $30.93 | ↓ -99% |
| Health Net | Commercial|Blue Gold | $31.38 | ↓ -99% |
| Health Net | Commercial|All Other Plans | $34.57 | ↓ -99% |
| Cigna | Commercial|LocalPlus | $36.74 | ↓ -99% |
| Cigna | Commercial|All Other Plans | $39.08 | ↓ -99% |
| Aetna | Commercial|HMO | $78.07 | ↓ -98% |
| Aetna | Commercial|PPO | $78.63 | ↓ -98% |
| Kaiser | Commercial|All Plans | $5,200.00 | ↑ +44% |
| Western Growers | Commercial|All Plans | $5,440.00 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $6,400.00 | ↑ +78% |
| First Health | Commercial|All Plans | $6,800.00 | ↑ +89% |
| Multiplan | Commercial|All Plans | $6,800.00 | ↑ +89% |
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 |