Fomepizole 1 gram/ml intravenous solution at Mercy Hospital
4050 Coon Rapids Blvd. Coon Rapids, MN 55443 | 550 Osborne Road NE. Fridley, MN · Allinahealth · · NPI 1316904287
$1,503.13
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.
$3,131.52
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.
$0.01 with united healthcare (um) vs $1,474.28 with first health (a c e g h u b d n o r s) — 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 |
|---|---|---|---|
| united healthcare (um) | united healthcare (um) | $0.01 | ↓ -100% |
| allina aetna medicare (m) | allina aetna medicare (m) | $6.11 | ↓ -100% |
| medicaid | medicaid ma (m) | $6.25 | ↓ -100% |
| all other medicaid | all other medicaid (m) | $6.25 | ↓ -100% |
| medicare other | all other medicare (m) | $6.43 | ↓ -100% |
| medicare | medicare (m) | $6.43 | ↓ -100% |
| south country health alliance | scha pmap (m) | $6.44 | ↓ -100% |
| medica | medica medicare (m) | $6.69 | ↓ -100% |
| bcbs | bc medicare (m) | $6.76 | ↓ -100% |
| hennepin health | hennepin health (m) | $7.12 | ↓ -100% |
| uhc ubh pmap | uhc ubh pmap (m) | $7.81 | ↓ -99% |
| health partners | hpi pmap (amu) | $10.61 | ↓ -99% |
| health partners | hpi medicare (amu) | $12.27 | ↓ -99% |
| blue cross blue shield of minnesota | bc pmap (amu) | $13.12 | ↓ -99% |
| blue cross blue shield of minnesota | bc premier (m u) | $14.81 | ↓ -99% |
| bcbs | bc aehp (mu) | $17.42 | ↓ -99% |
| blue cross blue shield of minnesota | bc state health plan (mu) | $17.79 | ↓ -99% |
| blue cross blue shield of minnesota | bc high value/performance network (mu) | $18.70 | ↓ -99% |
| health partners | hpi cigna (mu) | $19.82 | ↓ -99% |
| ucare pmap (a b c d e g n o s u r h) | ucare pmap (abdmnorsuv) | $353.13 | ↓ -77% |
| medica pmap (um) | medica pmap (um) | $389.63 | ↓ -74% |
| aetna | aetna elevate (amu) | $618.67 | ↓ -59% |
| aetna | aetna performance (amu) | $658.16 | ↓ -56% |
| medica dual solutions (e g) | medica dual solutions (m) | $779.26 | ↓ -48% |
| aetna direct network | aetna direct network (amu) | $958.99 | ↓ -36% |
| blue cross blue shield of minnesota | bc aware/blue plus (a m u) | $1,030.24 | ↓ -31% |
| americas ppo (araz)(a m u) | americas ppo (araz)(a m u) | $1,174.51 | ↓ -22% |
| medica ubh (m) | medica ubh (m) | $1,228.57 | ↓ -18% |
| medica health system | medica elect (u m) | $1,258.58 | ↓ -16% |
| medica mhps | medica mhps (u m) | $1,314.04 | ↓ -13% |
| medica | medica essentials (u m) | $1,314.04 | ↓ -13% |
| medica health system | medica choice (u m) | $1,383.02 | ↓ -8% |
| medica ubh pmap | medica ubh pmap (m) | $1,404.08 | ↓ -7% |
| first health (a c e g h u b d n o r s) | first health (abdmnosurv) | $1,474.28 | ↓ -2% |
Visitor-reported prices
Comments
Fomepizole 1 gram/ml intravenous solution at other Minnesota hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sanford Westbrook Hospital | Westbrook | $871.20 | $263.65 – $980.10 |
| Sanford Luverne Medical Center | Luverne | $974.40 | $268.00 – $996.30 |
| Sanford Bemidji Medical Center | Bemidji | $1,658.51 | $5.96 – $660.38 |
| Sanford Worthington Medical Center | Worthington | $1,526.40 | $5.96 – $745.20 |
| Sanford Tracy Hospital | Tracy | $804.56 | $243.48 – $905.13 |
| Sanford Thief River Falls Medical Center | Thief River Falls | $1,594.03 | $655.06 – $1,716.33 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls | $1,594.03 | $655.06 – $1,716.33 |
| United Hospital | MN | 1175 Nininger Road. Hastings | $1,503.13 | $6.11 – $20.92 |