Fomepizole 1 gram/ml intravenous solution at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$6,490.62
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.
$15,165.00
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.
$2.60 with BCBS - Anthem vs $12,075.56 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|Non-MCS | $2.60 | ↓ -100% |
| BCBS - Anthem | Commercial|MCS | $3.49 | ↓ -100% |
| Scan Health Plan | Medicare|All Plans | $7.66 | ↓ -100% |
| Aetna | Medicare|All Plans | $7.66 | ↓ -100% |
| Humana | Medicare|All Plans | $7.66 | ↓ -100% |
| BCBS - Anthem | Medicare|All Plans | $7.66 | ↓ -100% |
| United | Medicare|All Plans | $7.66 | ↓ -100% |
| Alignment | Medicare|All Plans | $7.66 | ↓ -100% |
| Kaiser | Medicare|All Plans | $7.66 | ↓ -100% |
| United | Commercial|Non-Options PPO | $8.88 | ↓ -100% |
| United | Commercial|Options PPO | $10.00 | ↓ -100% |
| United | Commercial|HMO | $10.16 | ↓ -100% |
| United | Commercial|All Other Plans | $10.16 | ↓ -100% |
| MHS Hospice | Commercial|All Plans | $10.71 | ↓ -100% |
| CenCal | Medicaid|< 21 | $18.52 | ↓ -100% |
| CenCal | Medicaid|> 21 | $18.52 | ↓ -100% |
| Blue Shield CA | Commercial|Exchange | $19.33 | ↓ -100% |
| Blue Shield CA | Commercial|FFS | $19.33 | ↓ -100% |
| Health Net | Medicaid|> 21 | $22.69 | ↓ -100% |
| Health Net | Medicaid|< 21 | $22.69 | ↓ -100% |
| Health Net | Commercial|Care Product | $35.78 | ↓ -99% |
| Health Net | Commercial|FFS | $40.63 | ↓ -99% |
| Cigna | Commercial|All Other Plans | $6,824.25 | ↑ +5% |
| Cigna | Commercial|PPO | $6,824.25 | ↑ +5% |
| Western Growers | Commercial|All Plans | $7,582.50 | ↑ +17% |
| Kaiser | Commercial|All Plans | $7,762.86 | ↑ +20% |
| First Health | Commercial|All Plans | $10,350.48 | ↑ +59% |
| Healthsmart | Commercial|All Plans | $11,336.24 | ↑ +75% |
| MultiPlan | Commercial|All Plans | $12,075.56 | ↑ +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 |
| 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 |
| St. Joseph's Medical Center Stockton | Stockton | $1,985.68 | $4.21 – $3,018.42 |