Fomepizole 1 gram/ml intravenous solution at cleveland clinic childrens hospital for rehabilitation

2801 Martin Luther King Jr. Drive, Cleveland, OH · Cleveland Clinic · · NPI 1033161948

Source: hospital's published price file ↗ · Published Jun 15, 2026 · Ingested Aug 12, 2026

$2,701.32

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.

$4,155.87

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.

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

$558.52 with OPTUM vs $2,464.32 with AETNA — 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
OPTUM Managed Medicaid Transplant $558.52 ↓ -79%
Paramount Managed Medicaid $605.56 ↓ -78%
MOLINA Managed Medicaid $617.32 ↓ -77%
ANTHEM Managed Medicaid $617.32 ↓ -77%
CARESOURCE Managed Medicaid $629.07 ↓ -77%
UNITED Managed Medicaid $629.07 ↓ -77%
AMERIHEALTH Managed Medicaid $646.71 ↓ -76%
OSCAR ALL PRODUCTS $696.91 ↓ -74%
Aultcare PPO/HMO $702.33 ↓ -74%
PHP ALL PRODUCTS $788.58 ↓ -71%
PHPHI ALL PRODUCTS $788.58 ↓ -71%
Summacare Preferred $864.98 ↓ -68%
CIGNA ALL PRODUCTS $911.80 ↓ -66%
Summacare PREMIER $938.91 ↓ -65%
MMO TRADITIONAL $1,002.98 ↓ -63%
Buckeye Managed Medicaid $1,027.62 ↓ -62%
ANTHEM HPN $1,031.81 ↓ -62%
Amish Community Aid Plan ALL PRODUCTS $1,108.94 ↓ -59%
OPTUM All Products Transplant $1,158.23 ↓ -57%
ANTHEM TRADITIONAL $1,174.74 ↓ -57%
UNITED ALL PRODUCTS $1,185.34 ↓ -56%
OPTUM Commercial CHD Care Solutions $1,187.80 ↓ -56%
OHCP ALL PRODUCTS $1,197.66 ↓ -56%
ANTHEM PPO/HMO $1,213.92 ↓ -55%
OPTUM Commercial CRS Care Solutions $1,259.27 ↓ -53%
HEALTHSMART ALL PRODUCTS $1,355.38 ↓ -50%
UPMC ALL PRODUCTS $1,478.59 ↓ -45%
The Health Plan ALL PRODUCTS $1,478.59 ↓ -45%
THREE RIVERS ALL PRODUCTS $1,601.81 ↓ -41%
Quality Care Partners ALL PRODUCTS $1,725.02 ↓ -36%
GMS ALL PRODUCTS $1,725.02 ↓ -36%
Medical Benefit Corp Transplant SMCP $1,725.02 ↓ -36%
CC EHP ALL PRODUCTS $1,747.20 ↓ -35%
Consociate Health ALL PRODUCTS $1,848.24 ↓ -32%
AETNA ALL PRODUCTS $1,848.24 ↓ -32%
AETNA Acop $1,927.10 ↓ -29%
Ohio Healthy Transplant $1,971.46 ↓ -27%
Evernorth (Cigna BH) All Products Psychiatrist $1,971.46 ↓ -27%
MULTIPLAN ALL PRODUCTS $2,217.89 ↓ -18%
USA Managed Care ALL PRODUCTS $2,217.89 ↓ -18%
AETNA Asa_Whirlpool_Peia (Hmo) $2,217.89 ↓ -18%
Managed Care Services TRANSPLANT $2,217.89 ↓ -18%
AETNA International $2,341.10 ↓ -13%
AETNA Asa_Whirlpool_Peia (Pos_Epo_Ppo) $2,350.96 ↓ -13%
AETNA Qhp/Ipf $2,464.32 ↓ -9%
AETNA NAP 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
fairview hospital Cleveland $2,701.32 $2.17 – $2,217.89
lutheran hospital Cleveland $2,701.32 $6.43 – $2,217.89
cleveland clinic main campus Cleveland not published $0.80 – $465.30
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
euclid hospital Euclid $2,701.32 $6.43 – $2,217.89
hillcrest hospital Mayfield Heights $2,701.32 $2.17 – $2,217.89

All Ohio hospitals for this procedure →