Fomepizole 1 gram/ml intravenous solution at HCA FLORIDA MEMORIAL HOSPITAL

11850 ATLANTIC BLVD, JACKSONVILLE, FL · HCA Florida Healthcare · · NPI 1447206438

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 10, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$7.21 with BCBS vs $61.20 with NovaNet — 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 →

Payer
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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
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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 MBN $7.21
AvMed HIX $8.16
United OptionsPPO $8.70
BCBS HMO $9.04
BCBS SBN $9.04
BCBS PPO $9.52
BCBS NWB $9.52
Simply Healthcare MGMCR $10.47
United AllPayerAppendix $10.61
AvMed HMOFI $15.64
BCBS PHS $16.39
BCBS BSLNON-PAR $16.39
Centurion PRISN $18.83
AvMed ASOEO $19.04
Aetna ASA $20.40
Corizon COMM $20.40
United GlobalBenefitPlanAppendix $30.60
Plotkin Health COMM $34.00
MultiPlan PRIMARYNETWORK $53.04
Evolutions Healthcare MANAGEDCAREPPO $54.40
Evernorth COMM $54.40
MultiPlan COMPLEMENTARYNETWORK $57.80
PPO Next COMM $57.80
PPO Next PPO $57.80
Evolutions Healthcare TRADITIONALPPO $57.80
NovaNet COMM $61.20
Aetna HMO not published by hospital
Aetna QHP not published by hospital
Aetna PPO not published by hospital

Visitor-reported prices

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Fomepizole 1 gram/ml intravenous solution at other Florida hospitals

Hospital City Cash price Negotiated range
Adventhealth Daytona Beach Daytona Beach $938.28 not published
Adventhealth Lake Wales Lake Wales $8,520.44 not published
Adventhealth Palm Coast Parkway Palm Coast $1,940.29 not published
Adventhealth Tampa Tampa $2,985.33 not published
AdventHealth New Smyrna Beach New Smyrna Beach $1,707.39 not published
Adventhealth Port Charlotte Port Charlotte $5,843.73 not published
HCA FLORIDA BRANDON HOSPITAL TAMPA $12,047.00 $13.82 – $13.82
HCA FLORIDA KENDALL HOSPITAL DORAL $8,058.00 $10.61 – $10.61

All Florida hospitals for this procedure →