Fomepizole 1 gram/ml intravenous solution at Wellstar Kennestone Hospital

677 Church Street, Marietta, GA · Wellstar Health System · · NPI 1649248626

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Aug 12, 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.

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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.

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

$6.28 with Aetna vs $24.57 with Cigna — 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
Aetna Medicare Managed Care Plan $6.28
Bcbs Medicare Managed Care Plan $6.40
Cigna Medicare Managed Care Plan $6.59
Caresource Medicare Managed Care Plan $6.72
Ambetter Select Exchange $11.05
Oscar Healthplan Exchange $11.61
Caresource Exchange $12.30
Unitedhealthcare All Commercial Plans $14.95
Bcbs Shbp Other Commercial Plan $18.60
Bcbs Hmo/Pos $20.97
Bcbs Ppo $22.24
Cigna Hmo $24.57
Cigna Ppo $24.57

Visitor-reported prices

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Fomepizole 1 gram/ml intravenous solution at other Georgia hospitals

Hospital City Cash price Negotiated range
Wellstar Windy Hill Hospital Marietta not published $6.44 – $14.95
CHI Memorial Hospital - Georgia Ringgold $2,688.51 $7.57 – $2,153.85
Adventhealth Gordon Calhoun $5,276.12 not published
Adventhealth Redmond Rome $6,111.34 $6.28 – $17.45
Adventhealth Murray Po Box 1406 $5,276.12 not published
Wellstar Cobb Hospital Austell not published $6.28 – $14.95
Wellstar Douglas Hospital Douglasville not published $6.28 – $14.95
Wellstar MCG Health Augusta not published $6.28 – $24.57

All Georgia hospitals for this procedure →