Fomepizole 1 gram/ml intravenous solution at hillcrest hospital
6780 Mayfield Road, Mayfield Heights, OH · Cleveland Clinic · · NPI 1902858152
$2,701.32
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.
$4,155.87
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.
$2.17 with AETNA 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 →
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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 |
|---|---|---|---|
| AETNA | Asa_Whirlpool_Peia | $2.17 | ↓ -100% |
| Valor | HMO & PPO | $6.43 | ↓ -100% |
| ANTHEM | MEDICARE ADVANTAGE | $6.43 | ↓ -100% |
| UPMC | MEDICARE ADVANTAGE | $6.43 | ↓ -100% |
| AETNA | MEDICARE ADVANTAGE | $6.43 | ↓ -100% |
| Summacare | MEDICARE ADVANTAGE | $6.43 | ↓ -100% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $6.43 | ↓ -100% |
| HUMANA | Medicare Advantage HMO | $6.44 | ↓ -100% |
| MMO | Medicare Advantage HMO | $6.44 | ↓ -100% |
| UNITED | MEDICARE ADVANTAGE | $6.44 | ↓ -100% |
| OPTUM | Medicare Advantage Transplant | $6.44 | ↓ -100% |
| OPTUM | All Products VA | $6.44 | ↓ -100% |
| The Health Plan | MEDICARE ADVANTAGE | $6.58 | ↓ -100% |
| CIGNA | MEDICARE ADVANTAGE | $6.62 | ↓ -100% |
| MMO | Medicare Advantage PPO | $6.63 | ↓ -100% |
| CommuniCare | MEDICARE ADVANTAGE | $6.75 | ↓ -100% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6.94 | ↓ -100% |
| Perennial Health | MEDICARE ADVANTAGE | $6.96 | ↓ -100% |
| PPHP | ALL PRODUCTS | $7.07 | ↓ -100% |
| ANTHEM | HPN | $11.53 | ↓ -100% |
| UNITED | ALL PRODUCTS | $13.24 | ↓ -100% |
| ANTHEM | PPO/HMO | $18.55 | ↓ -99% |
| AETNA | Acop | $26.98 | ↓ -99% |
| AETNA | International | $34.56 | ↓ -99% |
| OPTUM | Managed Medicaid Transplant | $343.05 | ↓ -87% |
| Paramount | Managed Medicaid | $371.93 | ↓ -86% |
| Buckeye | Managed Medicaid | $379.16 | ↓ -86% |
| ANTHEM | Managed Medicaid | $379.16 | ↓ -86% |
| MOLINA | Managed Medicaid | $379.16 | ↓ -86% |
| CARESOURCE | Managed Medicaid | $386.38 | ↓ -86% |
| UNITED | Managed Medicaid | $386.38 | ↓ -86% |
| AMERIHEALTH | Managed Medicaid | $397.21 | ↓ -85% |
| MMO | ALL PRODUCTS | $544.61 | ↓ -80% |
| OSCAR | ALL PRODUCTS | $696.91 | ↓ -74% |
| PHP | ALL PRODUCTS | $788.58 | ↓ -71% |
| CC EHP | ALL PRODUCTS | $832.94 | ↓ -69% |
| Summacare | Preferred | $867.44 | ↓ -68% |
| Summacare | PREMIER | $943.83 | ↓ -65% |
| Aultcare | PPO/HMO | $1,005.44 | ↓ -63% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,108.94 | ↓ -59% |
| OHCP | ALL PRODUCTS | $1,197.66 | ↓ -56% |
| OMAS | ALL PRODUCTS | $1,232.16 | ↓ -54% |
| MMO | NASCO | $1,283.91 | ↓ -52% |
| MMO | TRADITIONAL | $1,283.91 | ↓ -52% |
| Ohio Healthy | TRANSPLANT | $1,330.73 | ↓ -51% |
| HEALTHSMART | ALL PRODUCTS | $1,355.38 | ↓ -50% |
| ANTHEM | TRADITIONAL | $1,376.32 | ↓ -49% |
| OPTUM | All Products Transplant | $1,394.81 | ↓ -48% |
| The Health Plan | ALL PRODUCTS | $1,478.59 | ↓ -45% |
| UPMC | ALL PRODUCTS | $1,478.59 | ↓ -45% |
| THREE RIVERS | ALL PRODUCTS | $1,601.81 | ↓ -41% |
| Quality Care Partners | ALL PRODUCTS | $1,725.02 | ↓ -36% |
| Medical Benefit Corp | Transplant SMCP | $1,725.02 | ↓ -36% |
| GMS | ALL PRODUCTS | $1,725.02 | ↓ -36% |
| Consociate Health | ALL PRODUCTS | $1,848.24 | ↓ -32% |
| AETNA | ALL PRODUCTS | $1,848.24 | ↓ -32% |
| Humana Military | ALL PRODUCTS | $2,094.67 | ↓ -22% |
| Tertiary Care Network | TRANSPLANT | $2,217.89 | ↓ -18% |
| USA Managed Care | ALL PRODUCTS | $2,217.89 | ↓ -18% |
| MULTIPLAN | ALL PRODUCTS | $2,217.89 | ↓ -18% |
| FrontPath | TRANSPLANT | $2,217.89 | ↓ -18% |
| Managed Care Services | TRANSPLANT | $2,217.89 | ↓ -18% |
| AETNA | Qhp/Ipf | $2,464.32 | ↓ -9% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Fomepizole 1 gram/ml intravenous solution at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 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 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $2,701.32 | $558.52 – $2,217.89 |
| euclid hospital | Euclid | $2,701.32 | $6.43 – $2,217.89 |
| fairview hospital | Cleveland | $2,701.32 | $2.17 – $2,217.89 |
| lutheran hospital | Cleveland | $2,701.32 | $6.43 – $2,217.89 |
| lodi hospital | Lodi | $2,701.32 | $6.43 – $2,217.89 |