Fomepizole 1 gram/ml intravenous solution at University Hospitals Cleveland Medical Center

11100 Euclid Avenue, Cleveland OH 44106|3999 Richmond Road, OH · University Hospitals · · NPI 1043397292

Source: hospital's published price file ↗ · Published Jul 14, 2026 · Ingested Aug 21, 2026

$1,261.49

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.

$1,681.98

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.

$6.54 with United Healthcare vs $1,480.90 with Ohio Health Choice — 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
United Healthcare Medicare Advantage $6.54 ↓ -99%
Molina Medicare Advantage $6.54 ↓ -99%
WellCare by AllWell Medicare Advantage $6.54 ↓ -99%
Medical Mutual of Ohio Medicare Advantage $6.54 ↓ -99%
Humana Medicare Advantage $6.54 ↓ -99%
Primetime Health Plan Medicare Advantage $6.54 ↓ -99%
Aetna Medicare Advantage $6.54 ↓ -99%
SummaCare Medicare Advantage $6.54 ↓ -99%
Devoted Health Medicare Advantage $6.54 ↓ -99%
Cigna Medicare Advantage $6.54 ↓ -99%
Anthem Medicare Advantage $6.54 ↓ -99%
The Health Plan Medicare Advantage $6.54 ↓ -99%
Paramount Medicare Advantage $6.74 ↓ -99%
Valor Health Plans Medicare Advantage $6.87 ↓ -99%
Perennial Advantage of Ohio Medicare Advantage $6.87 ↓ -99%
CareSource Marketplace $11.77 ↓ -99%
Ambetter Commercial $11.77 ↓ -99%
AultCare Commercial $13.08 ↓ -99%
Medical Mutual of Ohio MedFlex Commercial $33.87 ↓ -97%
Medical Mutual of Ohio SuperMed Commercial $37.63 ↓ -97%
Medical Mutual of Ohio NAS Commercial $41.39 ↓ -97%
Cigna OAP Commercial $45.12 ↓ -96%
United Healthcare Nexus Commercial $54.54 ↓ -96%
United Healthcare Commercial $54.54 ↓ -96%
Medical Mutual of Ohio Northern Ohio Commercial $444.27 ↓ -65%
University Health Employee Plan (Contigo) Commercial $658.18 ↓ -48%
Sunrise Plain Communities Fund $822.72 ↓ -35%
Buckeye Plain Ministries Fund $822.72 ↓ -35%
Christian Healthcare Ministries Fund $822.72 ↓ -35%
Amish Church Fund and Workers Aid Plan Fund $822.72 ↓ -35%
Amish Aid Community Plan Fund $822.72 ↓ -35%
Immergrun Commercial $822.72 ↓ -35%
Anthem Tiered/Pathway Commercial $868.79 ↓ -31%
Anthem Pathway Commercial $868.79 ↓ -31%
JP Farley Commercial $893.47 ↓ -29%
Cigna PPO Commercial $913.22 ↓ -28%
Enterprise Group Planning Commercial $921.45 ↓ -27%
Anthem Traditional Commercial $941.19 ↓ -25%
Health Ohio Network Commercial $954.36 ↓ -24%
Anthem Blue Access Commercial $972.46 ↓ -23%
Aetna OPN Commercial $982.33 ↓ -22%
Immergrun Fund $987.26 ↓ -22%
Cigna CSN Commercial $1,041.56 ↓ -17%
The Health Plan Commercial $1,069.54 ↓ -15%
HealthSmart Commercial $1,069.54 ↓ -15%
Ohio Health Choice Preferred Health Choice Plus Commercial $1,069.54 ↓ -15%
Aetna Commercial $1,090.93 ↓ -14%
SummaCare Commercial $1,118.90 ↓ -11%
Medical Mutual Traditional/Health Ohio Commercial $1,151.81 ↓ -9%
Aetna NAP Commercial $1,290.02 ↑ +2%
Beech Street Commercial $1,316.35 ↑ +4%
Ohio Preferred Network Commercial $1,316.35 ↑ +4%
First Health Commercial $1,365.72 ↑ +8%
Century Health Network Commercial $1,398.62 ↑ +11%
Private Healthcare System Commercial $1,415.08 ↑ +12%
MultiPlan Commercial $1,480.90 ↑ +17%
Fortified Provider Network Commercial $1,480.90 ↑ +17%
Ohio Health Choice Commercial $1,480.90 ↑ +17%
CareSource Managed Medicaid not published by hospital —
United Healthcare Managed Medicaid not published by hospital —
Buckeye Managed Medicaid not published by hospital —
Molina Managed Medicaid not published by hospital —
Amerihealth Caritas Managed Medicaid not published by hospital —
Aetna (Ohio Rise) Managed Medicaid not published by hospital —
Humana Managed Medicaid not published by hospital —

Visitor-reported prices

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Fomepizole 1 gram/ml intravenous solution at other Ohio hospitals

Hospital City Cash price Negotiated range
Jewish Hospital Cincinnati $4,141.20 not published
Clermont Hospital Batavia $4,448.88 not published
Kings Mills Hospital Mason $4,448.88 not published
Mercy West Hospital Cincinnati $4,448.88 not published
St Ritas Medical Center Lima $11,536.20 not published
Trinity Medical Center East Steubenville $860.44 $6.70 – $1,335.95
akron general Akron $2,701.32 $2.17 – $2,217.89
avon hospital Avon $2,701.32 $6.43 – $2,217.89

All Ohio hospitals for this procedure →