Fomepizole 1 gram/ml intravenous solution at Covenant Medical Center
3615 19th St, Lubbock, TX · Providence · · NPI 1972517365
$5,959.39
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.
$14,189.03
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.
$6.54 with Aetna vs $56.73 with Aetna — 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $6.54 | ↓ -100% |
| Superior Healthplan | Wellcare Medicare Managed Care Plan | $6.87 | ↓ -100% |
| Unitedhealthcare | Medicare Managed Care Plan | $6.90 | ↓ -100% |
| Unitedhealthcare | All Commercial Plans | $23.03 | ↓ -100% |
| Bcbs | Par Traditional | $38.78 | ↓ -99% |
| Bcbs | Blue Essentials Hmo | $38.78 | ↓ -99% |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $38.78 | ↓ -99% |
| Bcbs | Ppo | $39.20 | ↓ -99% |
| Scott And White | Individual Bsw Premier Exchange | $45.12 | ↓ -99% |
| Scott And White | Group Bsw Premier/Covenant Preferred Other Commercial Plan | $54.58 | ↓ -99% |
| Aetna | Preferred Other Commercial Plan | $56.73 | ↓ -99% |
Visitor-reported prices
Comments
Fomepizole 1 gram/ml intravenous solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $5,959.39 | $23.03 – $41.40 |
| Adventhealth Rollins Brook | Lampasas | $2,076.23 | $39.92 – $39.92 |
| 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 |