Fomepizole 1 gram/ml intravenous solution at Franklin Woods Community Hospital

300 MED TECH PKWY., JOHNSON CITY, TN · Balladhealth · · NPI 1114033628

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$1,660.73

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.

$11,071.50

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.

$6.43 with BLUE CROSS vs $11,071.50 with WELLCARE — 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
BLUE CROSS ANTHEM MEDICARE VIRGINIA $6.43 ↓ -100%
HUMANA HUMANA MEDICARE $6.43 ↓ -100%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $6.43 ↓ -100%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA MEDICARE $6.43 ↓ -100%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $6.43 ↓ -100%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $6.43 ↓ -100%
SENTARA HEALTH SENTARA MEDICARE $6.43 ↓ -100%
MANAGED MEDICAIRE MANAGED MEDICAIRE $6.43 ↓ -100%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $6.43 ↓ -100%
ALLCARE MEDICARE ALLCARE MEDICARE $6.43 ↓ -100%
AETNA AETNA HEALTHCARE MEDICARE $6.43 ↓ -100%
UNITED HEALTHCARE UNITED HEALTHCARE $6.58 ↓ -100%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $6.58 ↓ -100%
UNITED HEALTHCARE UHC HERITAGE SELECT $6.58 ↓ -100%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $6.63 ↓ -100%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $6.69 ↓ -100%
BLUE CROSS BLUE CROSS MEDICARE $6.69 ↓ -100%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $6.76 ↓ -100%
NHC ADVANTAGE NHC ADVANTAGE $6.76 ↓ -100%
CIGNA HEALTHCARE CIGNA MEDICARE $6.76 ↓ -100%
WELLCARE WELLCARE MEDICARE $6.82 ↓ -100%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $6.85 ↓ -100%
AMERIGROUP AMERIGROUP $6.96 ↓ -100%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $11.88 ↓ -99%
AMBETTER AMBETTER $14.03 ↓ -99%
BLUE CROSS BLUE CROSS E NETWORK $16.78 ↓ -99%
BLUE CROSS BLUE CROSS S NETWORK $17.15 ↓ -99%
BLUE CROSS BLUE CROSS P NETWORK $17.15 ↓ -99%
BLUE CROSS TENNCARE BLUE SELECT $21.91 ↓ -99%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $22.69 ↓ -99%
BLUE CROSS TENNCARE BLUE CARE $23.93 ↓ -99%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $30.16 ↓ -98%
CIGNA HEALTHCARE CIGNA HMO $30.16 ↓ -98%
CIGNA HEALTHCARE CIGNA PPO $30.16 ↓ -98%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $263.03 ↓ -84%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $263.03 ↓ -84%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $273.55 ↓ -84%
AETNA AETNA BETTER HEALTH OF VIRGINIA $273.55 ↓ -84%
SENTARA HEALTH SENTARA HEALTH $3,207.41 ↑ +93%
AETNA AETNA $7,063.62 ↑ +325%
MEDCOST MEDCOST VHN $9,410.78 ↑ +467%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $11,071.50 ↑ +567%
WELLCARE WELLCARE MEDICAID $11,071.50 ↑ +567%

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Fomepizole 1 gram/ml intravenous solution at other Tennessee hospitals

Hospital City Cash price Negotiated range
Johnson City Medical Center JOHNSON CITY $1,917.15 $6.43 – $242.39
CHI Memorial Hospital Hixson Hixson $2,688.51 $4.44 – $1,861.35
62-1166050 BMH Carroll County Huntingdon $629.38 $5.36 – $12.32
CHI Memorial Hospital Chattanooga Chattanooga $3,842.03 $4.44 – $1,861.35
Hancock County Hospital SNEEDVILLE $1,380.00 $3.81 – $276.18
Greeneville Community Hospital GREENEVILLE $1,091.65 $2.74 – $263.03
Bristol Regional Medical Center BRISTOL $1,917.15 $4.57 – $246.67
Holston Valley Medical Center KINGSPORT $1,917.15 $4.57 – $246.67

All Tennessee hospitals for this procedure →