Fomepizole 1 gram/ml intravenous solution at CHI Memorial Hospital - Georgia
4710 Battlefield Pkwy, Ringgold, GA · CommonSpirit Health · · NPI 1356860621
$2,688.51
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.
$9,082.79
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.
$5.50 with Aetna vs $2,153.85 with Aetna — 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 |
|---|---|---|---|
| Aetna | Medicare|All Plans | $5.50 | ↓ -100% |
| BCBS - GA | Medicare|BlueCare | $5.67 | ↓ -100% |
| Cigna | Medicare|Healthspring | $5.78 | ↓ -100% |
| Humana | Medicare|HMO | $5.83 | ↓ -100% |
| Amerigroup | Medicare|All Plans | $5.88 | ↓ -100% |
| Humana | Medicare|All Other Plans | $6.05 | ↓ -100% |
| BCBS - GA | Commercial|Pathway | $6.06 | ↓ -100% |
| BCBS - GA | Commercial|HMO | $6.16 | ↓ -100% |
| BCBS - GA | Commercial|All Other Plans | $6.16 | ↓ -100% |
| Cigna | Commercial|LocalPlus | $7.57 | ↓ -100% |
| Cigna | Commercial|Open Access | $7.57 | ↓ -100% |
| Centene | Commercial|Ambetter Exchange | $9.40 | ↓ -100% |
| BCBS - TN | Commercial|Network P | $12.43 | ↓ -100% |
| BCBS - TN | Commercial|Network S | $15.00 | ↓ -99% |
| Peach State | Medicaid|All Plans | $398.87 | ↓ -85% |
| Amerigroup | Medicaid|All Plans | $505.23 | ↓ -81% |
| Wellcare | Medicaid|All Plans | $531.82 | ↓ -80% |
| CareSource | Medicaid|All Plans | $531.82 | ↓ -80% |
| Employers Health Network | Commercial|All Plans | $1,196.59 | ↓ -55% |
| Multiplan | Commercial|All Plans | $1,595.45 | ↓ -41% |
| Alliant Health | Commercial|All Plans | $1,701.81 | ↓ -37% |
| Humana | Commercial|All Plans | $1,861.35 | ↓ -31% |
| Aetna | Commercial|HMO | $2,153.85 | ↓ -20% |
| Aetna | Commercial|PPO | $2,153.85 | ↓ -20% |
| Aetna | Commercial|All Other Plans | $2,153.85 | ↓ -20% |
Visitor-reported prices
Comments
Fomepizole 1 gram/ml intravenous solution at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 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 Kennestone Hospital | Marietta | not published | $6.28 – $14.95 |
| Wellstar MCG Health | Augusta | not published | $6.28 – $24.57 |
| Wellstar North Fulton Hospital | Roswell | not published | $6.28 – $14.95 |