Fomepizole 1 gram/ml intravenous solution at HCA HOUSTON NORTHWEST
621 RAYFORD RD, SPRING, TX · HCA Houston Healthcare · · NPI 1740450121
not published by hospital
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.
not published by hospital
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.
$4.37 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 →
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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 |
|---|---|---|---|
| Superior Health Plan | STARKids | $4.37 | — |
| Superior Health Plan | STARPLUS | $4.37 | — |
| Superior Health Plan | CHIP | $4.37 | — |
| Superior Health Plan | CHPFC | $4.37 | — |
| Superior Health Plan | STAR | $4.37 | — |
| Community Health Choice MCD | STAR | $9.47 | — |
| Community Health Choice MCD | CHIPPerinatal | $9.47 | — |
| Community Health Choice MCD | CHIP | $9.47 | — |
| Community Health Choice MCD | STAR+PLUS | $9.47 | — |
| United | NarrowNetworkIndivExchange | $10.61 | — |
| United | SmallGroup | $10.61 | — |
| United | AllPayerAppendix | $10.61 | — |
| Texas Childrens Health Plans | CHIP | $12.09 | — |
| United | OptionsPPO | $12.24 | — |
| Texas Childrens Health Plans | STAR | $17.27 | — |
| Texas Childrens Health Plans | STARKIDS | $17.27 | — |
| BCBS | MyBlueHealth | $20.33 | — |
| BCBS | Traditional | $25.50 | — |
| BCBS | PPO | $28.00 | — |
| BCBS | HMO | $28.00 | — |
| BCBS | EPOSOA | $28.00 | — |
| Christus (USFHP) | TRICARE | $29.14 | — |
| Cigna | CSN | $31.19 | — |
| United | GlobalAppendix | $32.78 | — |
| Cigna | OpenAccessPlus | $33.77 | — |
| BCBS | BAV | $34.95 | — |
| Coventry National First Health | COMM | $38.83 | — |
| Cigna | PPO | $40.22 | — |
| Humana | PPO | $129.25 | — |
| Humana | HMO | $129.25 | — |
Visitor-reported prices
Comments
Fomepizole 1 gram/ml intravenous solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Springwoods Village Hospital | Spring | $3,178.98 | $8.80 – $3,046.55 |
| 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 - 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 |