Fomepizole 1 gram/ml intravenous solution at MEDICAL CITY DALLAS HOSPITAL

7777 Forest Lane, Dallas, TX · Medicalcityhealthcare · · NPI 1689628984

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$43,994.05

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.

$43,994.05

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.

$10.61 with United vs $43,994.05 with National Healthcare Solutions — 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 AllPayerAppendix $10.61 ↓ -100%
United SmallGroup $10.61 ↓ -100%
United NarrowNetworkIndivExchange $10.61 ↓ -100%
BCBS BluePremier $28.93 ↓ -100%
BCBS BlueAdvantageHMO $35.78 ↓ -100%
BCBS MyBlueHealth $35.78 ↓ -100%
BCBS BlueEssentialsAccess $52.37 ↓ -100%
BCBS BlueEssentials $52.37 ↓ -100%
BCBS EPOSOA $54.96 ↓ -100%
BCBS PPO $57.55 ↓ -100%
Cigna LocalPlus $78.00 ↓ -100%
Cigna NewBusiness $78.07 ↓ -100%
Cigna NetworkBenefit $87.14 ↓ -100%
Cigna OpenAccessPlus $87.14 ↓ -100%
Cigna HMO $87.14 ↓ -100%
Humana COMM $94.93 ↓ -100%
Cigna AllOther $110.24 ↓ -100%
Superior Health Plan STARPLUS $3,079.58 ↓ -93%
Superior Health Plan CHIP $3,079.58 ↓ -93%
Superior Health Plan STARKids $3,079.58 ↓ -93%
Superior Health Plan STARHealth $3,079.58 ↓ -93%
Superior Health Plan MCDSTAR $3,079.58 ↓ -93%
Optum Health MCD $4,839.35 ↓ -89%
Cigna IFP $5,939.20 ↓ -86%
Cigna QHP $6,159.17 ↓ -86%
Aetna QHPHIX $7,171.03 ↓ -84%
Religious Order of Jehovah Witness LOGOV $8,798.81 ↓ -80%
United OptionsPPO $9,458.72 ↓ -79%
Aetna NewBusiness $10,470.58 ↓ -76%
Unicare CHIP $10,558.57 ↓ -76%
Aetna Meritain $11,262.48 ↓ -74%
Aetna COMM $11,262.48 ↓ -74%
Aetna OON $13,198.22 ↓ -70%
Healthcare Highways CityofPlano $14,869.99 ↓ -66%
Healthcare Highways NTX CityofPlanoEmployeeBenefitPlan $15,397.92 ↓ -65%
Prominence Health Plan HIX $17,597.62 ↓ -60%
BCBS Traditional $19,533.36 ↓ -56%
City of McKinney COMM $19,797.32 ↓ -55%
Emerging Therapy Solutions MCR $21,557.08 ↓ -51%
National ChoiceCare WCOMP $21,997.03 ↓ -50%
Aetna ASA $23,184.86 ↓ -47%
Cigna Lifesource COMM $24,196.73 ↓ -45%
PC Texas Partners WCOMP $24,196.73 ↓ -45%
Physicians Coop of TX MGMCR $24,196.73 ↓ -45%
Rockport Health Group WORKERSCOMP $24,196.73 ↓ -45%
Aetna WCOMP $24,196.73 ↓ -45%
TEXAS INSTRUMENTS EmployeesHealthBenefitPlan $24,636.67 ↓ -44%
Averde Health, Inc PPO $25,516.55 ↓ -42%
Aetna Coventry First Health EXCLUSIVE $25,912.50 ↓ -41%
Aetna Coventry First Health NONEXCLUSIVE $25,912.50 ↓ -41%
Emerging Therapy Solutions COMM $29,476.01 ↓ -33%
Mega Life MGMCRPPO $30,795.83 ↓ -30%
Coastal Comp Health Networks WCOMP $30,795.83 ↓ -30%
HealthSmart Preferred Care PPO $31,235.78 ↓ -29%
LEWISVILLE ISD/DLS CONSULTING COMMPPO $32,995.54 ↓ -25%
USC Health Services COMM $35,195.24 ↓ -20%
USA Managed Care COMM $35,195.24 ↓ -20%
Galaxy Health Network PPO $37,394.94 ↓ -15%
Optum Health (URN) COMM $39,154.70 ↓ -11%
Unicare MCD $43,994.05 ↑ +0%
Independent Medical Systems COMM $43,994.05 ↑ +0%
National Healthcare Solutions COMM $43,994.05 ↑ +0%

Visitor-reported prices

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Fomepizole 1 gram/ml intravenous solution at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $1,928.54 $6.21 – $2,218.50
Texas Health Presbyterian Hospital Dallas Dallas $2,033.07 $13.53 – $28.09
Methodist Charlton Medical Center Dallas $1,293.87 $6.43 – $2,478.43
Methodist Dallas Medical Center Dallas $1,890.00 $6.43 – $2,908.80
MEDICAL CITY GREEN OAKS HOSPITAL DALLAS not published $94.93 – $94.93
Adventhealth Rollins Brook Lampasas $2,076.23 $39.92 – $39.92
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $1,928.54 $17.11 – $2,662.20
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $1,928.54 $6.21 – $2,218.50

All Texas hospitals for this procedure →