Fomepizole 1 gram/ml intravenous solution at UPMC Altoona

620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570

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

$1,671.60

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.

$2,786.00

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 UPMC Health Plan vs $23.46 with Highmark BCBS of PA — 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
UPMC Health Plan Managed Medicare $6.40 ↓ -100%
UPMC Health Plan Partners/Select $6.51 ↓ -100%
United Healthcare Medicare $6.72 ↓ -100%
AmeriHealth Caritas Medicare $6.78 ↓ -100%
PA Health & Wellness Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) $6.78 ↓ -100%
Cigna Medicare $6.78 ↓ -100%
Highmark Wholecare (prev Gateway) Medicare $6.78 ↓ -100%
UPMC Health Plan CHIP $9.45 ↓ -99%
UPMC Work Partners Workers Comp $10.04 ↓ -99%
Cigna Commercial $13.50 ↓ -99%
UPMC Health Plan Commercial $13.50 ↓ -99%
Preferred Healthcare System PPO $13.50 ↓ -99%
Aetna Commercial $14.31 ↓ -99%
PA Health & Wellness Community Health Choices/PA Medicaid HMO $14.85 ↓ -99%
Geisinger Commercial $14.85 ↓ -99%
Geisinger Medicaid $14.85 ↓ -99%
United Healthcare Commercial $18.48 ↓ -99%
Private Health Care Systems PPO $21.60 ↓ -99%
Highmark BCBS of PA Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage $23.46 ↓ -99%
US Family Health Plan Tricare Prime not published by hospital
Tricare East Region not published by hospital

Visitor-reported prices

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Fomepizole 1 gram/ml intravenous solution at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $600.00 $3.45 – $558.45
UPMC Cole Coudersport $2,265.60 $14.40 – $3,020.80
UPMC Community Osteopathic Harrisburg $600.00 $6.22 – $558.45
UPMC East Monroeville $6,012.60 $6.16 – $80.00
UPMC Hamot Erie $3,905.40 $6.28 – $15.30
UPMC Hanover Hanover $600.00 $6.22 – $10.05
UPMC Horizon-Greenville Greenville $6,093.60 $5.62 – $11.78
UPMC Jameson New Castle $2,932.80 $6.28 – $23.87

All Pennsylvania hospitals for this procedure →