Fomepizole 1 gram/ml intravenous solution at MEDICAL CITY NORTH HILLS HOSPITAL
4401 Booth Calloway Road, North Richland Hills, TX · Medicalcityhealthcare · · NPI 1518911833
$44,905.08
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.
$44,905.08
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.
$10.61 with United vs $44,905.08 with Independent Medical Systems — 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 |
|---|---|---|---|
| United | SmallGroup | $10.61 | ↓ -100% |
| United | AllPayerAppendix | $10.61 | ↓ -100% |
| United | NarrowNetworkIndivExchange | $10.61 | ↓ -100% |
| BCBS | BlueAdvantageHMO | $35.78 | ↓ -100% |
| BCBS | MyBlueHealth | $35.78 | ↓ -100% |
| BCBS | BluePremier | $36.92 | ↓ -100% |
| BCBS | BlueEssentials | $52.37 | ↓ -100% |
| BCBS | BlueEssentialsAccess | $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 | MCDSTAR | $3,143.36 | ↓ -93% |
| Superior Health Plan | CHIP | $3,143.36 | ↓ -93% |
| Superior Health Plan | STARKids | $3,143.36 | ↓ -93% |
| Superior Health Plan | STARPLUS | $3,143.36 | ↓ -93% |
| Superior Health Plan | STARHealth | $3,143.36 | ↓ -93% |
| Aetna | QHPHIX | $6,062.19 | ↓ -86% |
| Cigna | IFP | $6,062.19 | ↓ -86% |
| Cigna | QHP | $6,286.71 | ↓ -86% |
| Aetna | NewBusiness | $8,936.11 | ↓ -80% |
| Unicare | CHIP | $9,430.07 | ↓ -79% |
| Aetna | Meritain | $9,564.78 | ↓ -79% |
| Aetna | COMM | $9,564.78 | ↓ -79% |
| United | OptionsPPO | $9,654.59 | ↓ -79% |
| Aetna | OON | $11,271.18 | ↓ -75% |
| Healthcare Highways | CityofPlano | $15,177.92 | ↓ -66% |
| BCBS | Traditional | $19,937.86 | ↓ -56% |
| City of McKinney | COMM | $20,207.29 | ↓ -55% |
| National ChoiceCare | WCOMP | $22,452.54 | ↓ -50% |
| Aetna | ASA | $23,664.98 | ↓ -47% |
| Aetna | WCOMP | $24,697.79 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $24,697.79 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $24,697.79 | ↓ -45% |
| PC Texas Partners | WCOMP | $24,697.79 | ↓ -45% |
| Averde Health, Inc | PPO | $26,044.95 | ↓ -42% |
| Magellan Behavior Health | Summit | $26,943.05 | ↓ -40% |
| Magellan Behavior Health | Pinnacle | $26,943.05 | ↓ -40% |
| Coastal Comp Health Networks | WCOMP | $31,433.56 | ↓ -30% |
| Mega Life | MGMCRPPO | $31,433.56 | ↓ -30% |
| Aetna Coventry First Health | COMM | $32,645.99 | ↓ -27% |
| HealthSmart Preferred Care | PPO | $33,678.81 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $33,678.81 | ↓ -25% |
| Cigna Behavioral Health | COMM | $35,924.06 | ↓ -20% |
| USC Health Services | COMM | $35,924.06 | ↓ -20% |
| USA Managed Care | COMM | $35,924.06 | ↓ -20% |
| Galaxy Health Network | PPO | $38,169.32 | ↓ -15% |
| National Healthcare Solutions | COMM | $44,905.08 | ↑ +0% |
| Unicare | MCD | $44,905.08 | ↑ +0% |
| Independent Medical Systems | COMM | $44,905.08 | ↑ +0% |
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 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,928.54 | $6.21 – $2,218.50 |
| 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 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,928.54 | $6.21 – $2,218.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,928.54 | $6.21 – $2,662.20 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,928.54 | $17.11 – $2,662.20 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,928.54 | $6.21 – $2,662.20 |