Fomepizole 1 gram/ml intravenous solution at Jacobi Medical Center

1400 Pelham Parkway South, Bronx, NY · NYC Health + Hospitals · · NPI 1679587679

Source: hospital's published price file ↗ · Published Sep 5, 2026 · Ingested Sep 10, 2026

$6.44

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.

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.

Full explanation →

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

$5.13 with Healthfirst vs $921.06 with Anthem HealthPlus — 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
Healthfirst Medicare Advantage PPO $5.13 ↓ -20%
Hamaspik MEDICARE ADVANTAGE $5.15 ↓ -20%
VNSNY Medicare Advantage $6.03 ↓ -6%
Senior Whole Health MAP $6.03 ↓ -6%
ANTHEM MEDICARE ADVANTAGE $6.03 ↓ -6%
VACCN All Products $6.03 ↓ -6%
Senior Whole Health MLTC $6.03 ↓ -6%
VNSNY Medicare SNP $6.03 ↓ -6%
Healthfirst MAP $6.06 ↓ -6%
Healthfirst MEDICARE ADVANTAGE $6.06 ↓ -6%
Centerlight PACE $6.18 ↓ -4%
Amidacare Managed Medicaid $6.18 ↓ -4%
Aetna MEDICARE ADVANTAGE $6.44 ↑ +0%
Fidelis MAP $6.44 ↑ +0%
UNITED MEDICARE ADVANTAGE $6.49 ↑ +1%
Local 1199 ALL PRODUCTS $6.70 ↑ +4%
OXFORD MEDICARE ADVANTAGE $6.76 ↑ +5%
MetroPlus MEDICARE ADVANTAGE $6.98 ↑ +8%
MetroPlus MAP $6.98 ↑ +8%
MetroPlus EXCHANGE $6.98 ↑ +8%
MAGNACARE PPO FPP $7.24 ↑ +12%
MAGNACARE PPO Non-FPP $7.24 ↑ +12%
MAGNACARE Direct Plus Non-FPP $7.24 ↑ +12%
MAGNACARE Direct Plus FPP $7.24 ↑ +12%
EMBLEM MEDICARE ADVANTAGE $9.05 ↑ +41%
Fidelis EXCHANGE $9.14 ↑ +42%
VillageCare Max MEDICARE ADVANTAGE $9.27 ↑ +44%
VillageCare Max MAP $9.27 ↑ +44%
OSCAR ALL PRODUCTS $9.27 ↑ +44%
Wellcare MEDICARE ADVANTAGE $9.53 ↑ +48%
Elderplan MAP_Medicare Advantage_MLTC $12.36 ↑ +92%
Aetna ALL PRODUCTS $13.60 ↑ +111%
MetroPlus Essential Plan 1-2 $18.51 ↑ +187%
MetroPlus Essential Plan 200-250 $18.51 ↑ +187%
MetroPlus Essential Plan 3-4 $18.51 ↑ +187%
Healthfirst Managed Medicaid $339.77 ↑ +5176%
Healthfirst CHP $339.77 ↑ +5176%
Healthfirst HARP $339.77 ↑ +5176%
Anthem HealthPlus EXCHANGE $409.36 ↑ +6257%
UNITED BEHAVIORAL HEALTH Managed Medicaid $409.36 ↑ +6257%
Fidelis HARP_Managed Medicaid $409.36 ↑ +6257%
Fidelis CHP $409.36 ↑ +6257%
UNITED Managed Medicaid $409.36 ↑ +6257%
MetroPlus CHP $409.36 ↑ +6257%
MetroPlus HARP $409.36 ↑ +6257%
MetroPlus Managed Medicaid $409.36 ↑ +6257%
MetroPlus SNP $409.36 ↑ +6257%
Carelon Managed Medicaid_HARP_CHP $409.36 ↑ +6257%
Carelon GHI BMP $409.36 ↑ +6257%
Carelon Commercial_Essential Plans $409.36 ↑ +6257%
UNITED HARP $409.36 ↑ +6257%
MetroPlus Gold $409.36 ↑ +6257%
MetroPlus Goldcare 1 & 2 $409.36 ↑ +6257%
UNITED BEHAVIORAL HEALTH CHP $417.55 ↑ +6384%
UNITED BEHAVIORAL HEALTH HARP $417.55 ↑ +6384%
VNSNY MAP $417.55 ↑ +6384%
Carelon (Amida Care) Managed Medicaid $417.55 ↑ +6384%
VNSNY Medicaid SNP $417.55 ↑ +6384%
UNITED Essential Plan 1-4_200-250 $438.02 ↑ +6702%
UNITED BEHAVIORAL HEALTH Essential Plan $450.30 ↑ +6892%
EMBLEM Essential Plan 3-4 $511.70 ↑ +7846%
UNITED CHP $511.70 ↑ +7846%
Emblem Essential Plan 200-250 $552.64 ↑ +8481%
EMBLEM Essential Plan 1-2 $552.64 ↑ +8481%
Healthfirst EXCHANGE $654.98 ↑ +10070%
Healthfirst Small Group $667.26 ↑ +10261%
Fidelis Essential Plan 1-4_200-250 $921.06 ↑ +14202%
Anthem HealthPlus Essential Plan 200-250 $921.06 ↑ +14202%
Anthem HealthPlus Essential Plan 1-2 $921.06 ↑ +14202%
Affinity Essential Plan 3-4 $921.06 ↑ +14202%
Healthfirst Essential Plan 1-2 $921.06 ↑ +14202%
Healthfirst Essential Plan 200-250 $921.06 ↑ +14202%
Affinity Essential Plan 200-250 $921.06 ↑ +14202%
Affinity Essential Plan 1-2 $921.06 ↑ +14202%
Healthfirst Essential Plan 3-4 $921.06 ↑ +14202%
Anthem HealthPlus Essential Plan 3-4 $921.06 ↑ +14202%

Visitor-reported prices

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Fomepizole 1 gram/ml intravenous solution at other New-york hospitals

Hospital City Cash price Negotiated range
WESTFIELD MEMORIAL HOSPITAL INC WESTFIELD $759.22 $4.38 – $12.89
UPMC Chautauqua Jamestown $2,932.80 $6.28 – $41.40
NewYork-Presbyterian Hudson Valley Hospital Cortlandt Manor $1,229.06 $5.72 – $295.67
NewYork-Presbyterian Queens Flushing $1,229.06 $5.73 – $295.96
NewYork-Presbyterian Columbia University Irving Medical Center New York $1,229.06 $5.73 – $248.47
Rochester General Hospital Rochester not published $12.89 – $20.70
Clifton Springs Hospital and Clinic Clifton Springs not published $10.62 – $18.00
Gouverneur Hospital Gouverneur not published $12.13 – $18.00

All New-york hospitals for this procedure →