Fomepizole 1 gram/ml intravenous solution at Atrium Health Pineville

10628 Park Rd, Charlotte, NC · Atrium Health · · NPI 1417432840

Source: hospital's published price file ↗ · Published Dec 5, 2025 · Ingested Aug 12, 2026

$2,461.93

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.

$4,923.85

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.

$6.40 with Humana vs $1,588.01 with Multiplan — 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
Humana Medicare Advantage $6.40 ↓ -100%
Aetna Medicare Advantage $6.50 ↓ -100%
Cigna Healthspring Medicare Advantage $6.59 ↓ -100%
United Healthcare Medicare Advantage $6.61 ↓ -100%
Ortho Carolina Commercial $7.85 ↓ -100%
Partners Managed Medicaid $172.61 ↓ -93%
Amerihealth Caritas Managed Medicaid $175.20 ↓ -93%
Alliance Behavioral Health $176.93 ↓ -93%
Carolina Complete Health Managed Medicaid $178.48 ↓ -93%
Wellcare Managed Medicaid $178.48 ↓ -93%
Healthy Blue Managed Medicaid $178.48 ↓ -93%
Vaya Managed Medicaid $180.20 ↓ -93%
Alliance Managed Medicaid $182.97 ↓ -93%
Trillium Managed Medicaid $183.83 ↓ -93%
United Healthcare Managed Medicaid $258.22 ↓ -90%
Aetna Connected North Carolina Individual HMO $457.42 ↓ -81%
Ambetter CoBranded Commercial $501.43 ↓ -80%
Blue Cross Blue Shield of North Carolina Local Individual Commercial $529.05 ↓ -79%
Blue Cross Blue Shield of North Carolina Local Group Commercial $529.05 ↓ -79%
Blue Cross Blue Shield of North Carolina HMO-PPO Managed Care $529.05 ↓ -79%
Aetna Whole Health HMO $590.33 ↓ -76%
Ambetter Individual Commercial $626.57 ↓ -75%
Cigna HMO-PPO Managed Care $690.44 ↓ -72%
United Healthcare IEX Commercial $693.89 ↓ -72%
Aetna North Carolina Preferred Plus Commercial $702.52 ↓ -71%
Cigna Commercial NB $747.40 ↓ -70%
Employers Health Network Commercial $762.94 ↓ -69%
Aetna Broad Network $790.55 ↓ -68%
United Healthcare HMO-PPO Managed Care $812.99 ↓ -67%
Physician Reach Out Plan P $863.05 ↓ -65%
MedCost Ultra $928.64 ↓ -62%
MedCost PPO $1,032.21 ↓ -58%
Magellan Behavioral Health $1,035.66 ↓ -58%
GMMI Commercial $1,121.97 ↓ -54%
Quik Trip Commercial $1,121.97 ↓ -54%
Cigna Commercial SAR $1,165.12 ↓ -53%
ChoiceCare Commercial $1,242.79 ↓ -50%
Healthgram Commercial $1,380.88 ↓ -44%
Provider Select Commercial $1,398.14 ↓ -43%
Private Health Care Systems Commercial $1,415.40 ↓ -43%
First Health Commercial $1,432.66 ↓ -42%
Aetna First Health Commercial $1,432.66 ↓ -42%
Beechstreet Commercial $1,553.49 ↓ -37%
Multiplan Commercial $1,588.01 ↓ -35%
Broughton Cardinal Partners Commercial not published by hospital
Physician Reach Out Plan H not published by hospital

Visitor-reported prices

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Fomepizole 1 gram/ml intravenous solution at other North-carolina hospitals

Hospital City Cash price Negotiated range
Atrium Health Behavioral Health Charlotte Charlotte $2,461.93 $327.96 – $1,726.10
Atrium Health Mercy Charlotte $2,461.93 $6.40 – $1,588.01
Atrium Health University City Charlotte $2,461.93 $6.40 – $1,588.01
Atrium Health Carolinas Medical Center Charlotte $2,461.93 $6.40 – $1,553.49
Carolinas Rehabilitation Charlotte Charlotte $2,461.93 $6.40 – $1,588.01
Atrium Health Anson Wadesboro $2,461.93 $6.40 – $1,639.80
Atrium Health Cabarrus Concord $2,461.93 $6.40 – $1,639.80
Atrium Health Cleveland Shelby $2,461.93 $6.40 – $1,639.80

All North-carolina hospitals for this procedure →