Fomepizole 1 gram/ml intravenous solution at HCA HOUSTON MEDICAL CENTER

1313 Hermann Dr, Houston, TX · HCA Houston Healthcare · · NPI 1073043592

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 10, 2026

not published by hospital

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.

not published by hospital

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.

$4.50 with Superior Health Plan vs $129.25 with Humana — 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
Superior Health Plan STARKids $4.50
Superior Health Plan STARPLUS $4.50
Superior Health Plan CHIP $4.50
Superior Health Plan CHPFC $4.50
Superior Health Plan STAR $4.50
Community Health Choice MCD CHIPPerinatal $9.74
Community Health Choice MCD STAR+PLUS $9.74
Community Health Choice MCD STAR $9.74
Community Health Choice MCD CHIP $9.74
United AllPayerAppendix $10.61
United NarrowNetworkIndivExchange $10.61
United SmallGroup $10.61
United OptionsPPO $12.59
BCBS MyBlueHealth $20.33
BCBS BAV $22.40
BCBS Traditional $26.23
BCBS HMO $28.00
BCBS PPO $28.00
BCBS EPOSOA $28.00
Christus (USFHP) TRICARE $29.98
Cigna CSN $31.19
United GlobalAppendix $33.73
Cigna OpenAccessPlus $33.77
Coventry National First Health COMM $39.95
Cigna PPO $40.22
Humana HMO $129.25
Humana PPO $129.25

Visitor-reported prices

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Fomepizole 1 gram/ml intravenous solution at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $3,178.98 $9.33 – $3,046.55
HCA HOUSTON WEST HOUSTON $5,637.00 $10.61 – $129.25
St. Luke's Health - The Vintage Hospital Houston $3,178.98 $8.80 – $3,046.55
HCA HOUSTON TOMBALL HOUSTON not published $10.61 – $129.25
Adventhealth Rollins Brook Lampasas $2,076.23 $39.92 – $39.92
Covenant Children's Hospital Lubbock $5,959.39 $23.03 – $41.40
St. Luke's Health Memorial Lufkin Lufkin $14,265.66 $5.46 – $35.06
HCA HOUSTON PEARLAND Pearland $6,659.22 $10.61 – $129.25

All Texas hospitals for this procedure →