Fomepizole 1 gram/ml intravenous solution at HCA HOUSTON SOUTHEAST

6002 FAIRMONT PKWY, PASADENA, TX · HCA Houston Healthcare · · NPI 1174576698

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.

$10.61 with United vs $5,846.72 with Affiliated PPO — 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
United SmallGroup $10.61
United NarrowNetworkIndivExchange $10.61
BCBS MyBlueHealth $20.33
BCBS BAV $22.40
BCBS EPOSOA $28.00
BCBS PPO $28.00
BCBS HMO $28.00
Cigna CSN $31.19
Cigna OpenAccessPlus $33.77
Cigna PPO $40.22
Humana HMO $129.25
Humana PPO $129.25
Superior Health Plan STARKids $389.78
Superior Health Plan STARPLUS $389.78
Superior Health Plan CHIP $389.78
Superior Health Plan CHPFC $389.78
Superior Health Plan STAR $389.78
Community Health Choice MCD STAR $844.53
Community Health Choice MCD CHIPPerinatal $844.53
Community Health Choice MCD CHIP $844.53
Community Health Choice MCD STAR+PLUS $844.53
Amerigroup MCDCHIPBH $909.49
Amerigroup MGMCD $909.49
Texas Childrens Health Plans CHIP $1,143.36
United OptionsPPO $1,312.26
Texas Childrens Health Plans STAR $1,539.64
Texas Childrens Health Plans STARKIDS $1,539.64
Texas Workforce Commission WCOMP $1,559.13
BCBS Traditional $2,273.73
Christus (USFHP) TRICARE $2,598.54
HealthSmart Preferred Care ACCEL $2,793.43
United GlobalAppendix $2,923.36
Coventry National First Health COMM $3,462.56
Physicians Cooperative of Texas WC $3,573.00
Rockport Workers Comp COMM $3,573.00
Independent Medical System COMM $3,897.82
Beech Street WCOMP $3,897.82
SouthWest Medical WORKERSCOMP $3,897.82
Prime Health Services WORKERSCOMP $3,897.82
National Healthcare Solutions COMM $3,897.82
Coastal Comp COMM $4,222.63
Fiesta Mart, Inc COMM $4,872.27
Cigna Behavioral Health COMMBH $5,197.09
Beech Street COMMPPO $5,197.09
HealthSmart Preferred Care PPO $5,327.02
HealthSmart Preferred Care ACCOUNTABLEPPO $5,521.91
Physicians, INC COMM $5,521.91
Multiplan COMPLEMENTARYPPO $5,846.72
Affiliated PPO COMM $5,846.72

Visitor-reported prices

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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

All Texas hospitals for this procedure →