Fomepizole 1 gram/ml intravenous solution at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$882.49
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.
$2,521.38
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.
$6.04 with BCBS vs $3,933.36 with CHC — 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 |
|---|---|---|---|
| BCBS | Medicare|All Plans | $6.04 | ↓ -99% |
| HUMANA | Medicare|All Plans | $6.04 | ↓ -99% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $6.04 | ↓ -99% |
| KELSEY | Medicare|All Plans | $6.16 | ↓ -99% |
| UNITED | Medicare|All Plans | $6.16 | ↓ -99% |
| Wellpoint | Medicare|All Plans | $6.22 | ↓ -99% |
| WellcareTP | Medicare|All Plans | $6.22 | ↓ -99% |
| SELECTCARE | Medicare|All Plans | $6.34 | ↓ -99% |
| Devoted | Medicare|All Plans | $6.46 | ↓ -99% |
| SCANHealth | Medicare|All Plans | $6.46 | ↓ -99% |
| Community Health Choice | Commercial|Exchange | $6.47 | ↓ -99% |
| Ambetter | Commercial|All Plans | $8.76 | ↓ -99% |
| Wellpoint | Commercial|Exchange | $9.06 | ↓ -99% |
| Aetna | Commercial|Exchange | $9.30 | ↓ -99% |
| United | Commercial|Exchange | $9.55 | ↓ -99% |
| Bright Health | Commercial|All Plans | $11.48 | ↓ -99% |
| BCBS-TX | Commercial|Blue Options | $14.71 | ↓ -98% |
| Cigna | Commercial|All Plans | $14.82 | ↓ -98% |
| BCBS-TX | Commercial|Traditional | $16.35 | ↓ -98% |
| Humana | Commercial|All Plans | $17.40 | ↓ -98% |
| Entrust | Commercial|All Plans | $18.10 | ↓ -98% |
| BCBS-TX | Commercial|PPO-POS | $23.23 | ↓ -97% |
| BCBS-TX | Commercial|HMO | $23.95 | ↓ -97% |
| BCBS-TX | Commercial|PPO | $27.90 | ↓ -97% |
| BCBS-TX | Commercial|Blue Advantage HMO | $34.32 | ↓ -96% |
| Aetna | Medicare|All Plans | $378.21 | ↓ -57% |
| Health First | Commercial|All Plans | $1,260.69 | ↑ +43% |
| CHC | Medicaid|CHIP | $1,638.90 | ↑ +86% |
| CHC | Medicaid|All Other Plans | $1,638.90 | ↑ +86% |
| Aetna | Commercial|All Other Plans | $1,689.33 | ↑ +91% |
| CHC | Medicaid|STAR | $3,933.36 | ↑ +346% |
Visitor-reported prices
Comments
Fomepizole 1 gram/ml intravenous solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $2,076.23 | $39.92 – $39.92 |
| Covenant Children's Hospital | Lubbock | $5,959.39 | $23.03 – $41.40 |
| Baylor St Luke's Medical Center | Houston | $3,178.98 | $9.33 – $3,046.55 |
| 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 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $3,178.98 | $8.80 – $3,046.55 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $3,178.98 | $8.80 – $3,046.55 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $3,178.98 | $8.80 – $3,046.55 |