Fomepizole 1 gram/ml intravenous solution at Northwestern Medicine Delnor Hospital

300 Randall Rd., Geneva, IL · Nm · · NPI 1407859655

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 17, 2026

$1,891.57

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.

$2,702.25

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.

$430.89 with AETNA HEALTH PLAN [171] vs $2,643.50 with MULTIPLAN/PHCS [142] — 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 HEALTH PLAN [171] DCH AETNA NM EMPLOYEES $430.89 ↓ -77%
CARELON BEHAVIORAL HEALTH [159] DCH BEACON HEALTH OPTIONS BHS $1,321.75 ↓ -30%
HEALTH'S FINEST NETWORK [126] DCH HFN NMH TIER ONE $1,321.75 ↓ -30%
BLUE CROSS BLUE SHIELD [1401] DCH BCBS PAR/INDEMNITY ADP $1,477.72 ↓ -22%
HEALTHLINK [125] DCH SEIU HEALTHLINK $1,665.41 ↓ -12%
THE ALLIANCE [1703] DCH THE ALLIANCE $1,697.92 ↓ -10%
HEALTH'S FINEST NETWORK [126] DCH HFN PLAT $1,718.28 ↓ -9%
FIRST HEALTH PLAN [6034] DCH FIRST HEALTH $1,824.02 ↓ -4%
ALTERNATE BLUE CROSS [1402] DCH BCBS HMO $1,843.05 ↓ -3%
BLUE CROSS BLUE SHIELD [1401] DCH BCBS HMO $1,843.05 ↓ -3%
HEALTH'S FINEST NETWORK [126] DCH HFN EPO $1,982.63 ↑ +5%
MULTIPLAN/PHCS [142] DCH PHCS $1,982.63 ↑ +5%
CIGNA HEALTH PLAN [178] DCH CIGNA BEHAVIORAL BHS $2,114.80 ↑ +12%
COMPSYCH [112] DCH COMPSYCH $2,114.80 ↑ +12%
HEALTH'S FINEST NETWORK [126] DCH HFN PPO $2,246.98 ↑ +19%
BEECHSTREET [176] DCH BEECH STREET/CAPP CARE $2,379.15 ↑ +26%
MULTIPLAN/PHCS [142] DCH MULTIPLAN $2,379.15 ↑ +26%
UNITED HEALTHCARE [158] DCH UHC NON-CONTRACTED OON - ED ONLY $2,643.50 ↑ +40%
MULTIPLAN/PHCS [142] DCH NON-CONTRACTED PAYORS $2,643.50 ↑ +40%
BLUE CROSS MEDICAID [1612] DCH ILLINOIS MEDICAID not published by hospital
BLUE CROSS BLUE SHIELD [1401] DCH ADVOCATE IPA not published by hospital
HUMANA HEALTH PLAN [130] DCH ADVOCATE IPA not published by hospital
JOURNEYCARE INC HOSPICE [1275] DCH JOURNEYCARE HOSPICE not published by hospital
ALTERNATE BLUE CROSS MEDICARE ADV [2304] DCH BLUE CROSS MEDICARE ADVT not published by hospital
BCBS MEDICARE ADVANTAGE [1304] DCH BLUE CROSS MMAI (MEDICARE) not published by hospital
OPTUM/UNITED BEHAVIORAL HEALTH [157] DCH UNITED BEHAVIORAL HEALTH not published by hospital
ALTERNATE HUMANA MEDICARE ADV [2409] DCH HUMANA MEDICARE ADVT not published by hospital
GLOBAL EXCEL [1712] DCH MEDICARE not published by hospital
HEALTH ALLIANCE MEDICAID [1310] DCH ILLINOIS MEDICAID not published by hospital
COUNTYCARE IL COOK CO [1607] DCH ILLINOIS MEDICAID not published by hospital

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Fomepizole 1 gram/ml intravenous solution at other Illinois hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Silvis Medical Center Silvis $2,742.73 $6.29 – $2,655.07
MercyOne Genesis Aledo Medical Center Aledo $2,742.73 $7.57 – $1,434.35
Uchicago Medicine Adventhealth Hinsdale Hinsdale $6,030.00 not published
Northwestern Memorial Hospital Chicago $2,919.52 not published
Uchicago Medicine Adventhealth La Grange La Grange $811.11 not published
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook $811.11 $6.28 – $10.17
Uchicago Medicine Adventhealth Glenoaks Glendale Heights $811.11 not published
Northwestern Medicine Central DuPage Hospital IL 60190 $10,046.40 not published

All Illinois hospitals for this procedure →