Fomepizole 1 gram/ml intravenous solution at HCA FLORIDA LAKE MONROE HOSPITAL

1401 WEST SEMINOLE BLVD, SANFORD, FL · HCA Florida Healthcare · · NPI 1285681908

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

$10,960.00

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.

$10,960.00

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.

$10.61 with United vs $9,864.00 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
United AllPayerAppendix $10.61 ↓ -100%
Truli for Health BSL $931.60 ↓ -92%
BCBS BSL $953.52 ↓ -91%
BCBS SBN $953.52 ↓ -91%
BCBS MBN $953.52 ↓ -91%
BCBS PPO $1,370.00 ↓ -88%
BCBS NWB $1,370.00 ↓ -88%
BCBS HMO $1,479.60 ↓ -87%
Simply MGMCR $1,687.84 ↓ -85%
BCBS PHS $2,323.52 ↓ -79%
Evolutions TieredNetwork $2,520.80 ↓ -77%
Aetna ASA $3,288.00 ↓ -70%
Molina Healthcare HIX $3,507.20 ↓ -68%
United OptionsPPO $3,660.64 ↓ -67%
Florida Health Care Plan COMM $4,131.92 ↓ -62%
United GlobalBenefitPlan $4,932.00 ↓ -55%
AvMed HIXOON $5,480.00 ↓ -50%
Plotkin Health COMM $5,480.00 ↓ -50%
Prime Health Sheriff WORKERSCOMP $5,480.00 ↓ -50%
Prime Health Sheriff COMM $5,480.00 ↓ -50%
Multiplan PRIMARYPPO $8,220.00 ↓ -25%
Three Rivers Provider Network WorkersComp $8,220.00 ↓ -25%
Multiplan Primary $8,548.80 ↓ -22%
Multiplan Complementary $9,316.00 ↓ -15%
Multiplan COMPLEMENTARYPPO $9,316.00 ↓ -15%
PPO Next PPO $9,316.00 ↓ -15%
PPO Next COMM $9,316.00 ↓ -15%
NovaNet COMM $9,864.00 ↓ -10%
Aetna PPO not published by hospital
Aetna QHP not published by hospital
Aetna HMO 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 →