Fomepizole 1 gram/ml intravenous solution at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$3,178.98
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.
$9,082.78
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.
$4.35 with Renaissance vs $3,046.55 with MHealth Network — 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 |
|---|---|---|---|
| Renaissance | Commercial|All Plans | $4.35 | ↓ -100% |
| HUMANA | Medicare|All Other Plans | $6.04 | ↓ -100% |
| SELECTCARE | Medicare|All Plans | $6.04 | ↓ -100% |
| CIGNA HEALTHSPRING | Medicare|HMO | $6.04 | ↓ -100% |
| BCBS | Medicare|All Plans | $6.04 | ↓ -100% |
| CIGNA HEALTHSPRING | Medicare|PPO | $6.10 | ↓ -100% |
| HUMANA | Medicare|TRANSPLANT | $6.16 | ↓ -100% |
| UHC-SecureHorizons | Medicare|All Plans | $6.16 | ↓ -100% |
| AETNA | Medicare|All Plans | $6.16 | ↓ -100% |
| Amerivantage | Medicare|All Plans | $6.22 | ↓ -100% |
| DEVOTED | Medicare|All Plans | $6.46 | ↓ -100% |
| SCANHealth | Medicare|All Plans | $6.46 | ↓ -100% |
| KINDRED | Medicare|All Plans | $6.64 | ↓ -100% |
| KELSEY | Medicare|All Plans | $7.19 | ↓ -100% |
| KelseyCare | Commercial|Exchange | $8.15 | ↓ -100% |
| United | Commercial|Exchange | $8.80 | ↓ -100% |
| Wellpoint | Commercial|Exchange | $9.06 | ↓ -100% |
| Community Health Choice | Commercial|All Other Plans | $9.06 | ↓ -100% |
| Superior Health Plan | Commercial|All Plans | $9.06 | ↓ -100% |
| Community Health Choice | Commercial|Exchange | $9.06 | ↓ -100% |
| Aetna | Commercial|Exchange | $9.30 | ↓ -100% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $11.30 | ↓ -100% |
| Bright Health | Commercial|All Plans | $11.48 | ↓ -100% |
| BCBS-TX | Commercial|Exchange | $12.76 | ↓ -100% |
| United | Commercial|HMO | $13.24 | ↓ -100% |
| United | Commercial|Charter | $13.24 | ↓ -100% |
| United | Commercial|PPO | $13.24 | ↓ -100% |
| NX Health | Commercial|PPO | $19.63 | ↓ -99% |
| BCBS-TX | Commercial|Blue Premier | $21.98 | ↓ -99% |
| BCBS-TX | Commercial|HMO | $27.58 | ↓ -99% |
| BCBS-TX | Commercial|PPO | $33.70 | ↓ -99% |
| Cigna | Commercial|PPO | $38.03 | ↓ -99% |
| Cigna | Commercial|Surefit | $40.09 | ↓ -99% |
| Cigna | Commercial|HMO | $40.09 | ↓ -99% |
| Aetna-Kelsey Care | Commercial|HMO | $670.25 | ↓ -79% |
| Aetna | Commercial|HMO | $792.11 | ↓ -75% |
| Aetna | Commercial|PPO | $792.11 | ↓ -75% |
| OPTUM | Medicare|All Plans | $822.57 | ↓ -74% |
| Aetna | Commercial|Transplant | $974.90 | ↓ -69% |
| TCHPCHIP | Medicaid|HMO | $1,066.30 | ↓ -66% |
| OPTUM | Medicaid|STAR | $1,102.25 | ↓ -65% |
| United | Commercial|Optum | $1,431.88 | ↓ -55% |
| Humana | Commercial|PPO | $1,462.35 | ↓ -54% |
| Humana | Commercial|HMO | $1,462.35 | ↓ -54% |
| KelseyCare | Commercial|All Other Plans | $1,492.81 | ↓ -53% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,675.61 | ↓ -47% |
| CHC | Medicaid|CHIP | $1,675.61 | ↓ -47% |
| CHC | Medicaid|HMO | $1,675.61 | ↓ -47% |
| Independent Med System | Commercial|All Plans | $1,827.93 | ↓ -42% |
| Cigna Lifesource | Commercial|Transplant | $1,827.93 | ↓ -42% |
| First Health | Commercial|All Plans | $1,980.26 | ↓ -38% |
| Coventry | Commercial|PPO | $1,980.26 | ↓ -38% |
| Humana | Commercial|Transplant | $1,980.26 | ↓ -38% |
| PHCS Savility | Commercial|PPO | $2,132.59 | ↓ -33% |
| PHCS | Commercial|All Plans | $2,132.59 | ↓ -33% |
| Cigna | Commercial|Transplant | $2,132.59 | ↓ -33% |
| Interlink | Commercial|Transplant | $2,132.59 | ↓ -33% |
| Healthsmart | Commercial|PPO | $2,132.59 | ↓ -33% |
| Healthsmart | Commercial|AP3-PPO | $2,193.52 | ↓ -31% |
| MultiPlan | Commercial|All Plans | $2,284.92 | ↓ -28% |
| OPTUM | Medicaid|STARPLUS | $2,517.06 | ↓ -21% |
| USA Health Network | Commercial|All Plans | $2,589.57 | ↓ -19% |
| MHealth Network | Commercial|PPO | $3,046.55 | ↓ -4% |
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 - Lakeside Hospital | The Woodlands | $3,178.98 | $8.80 – $3,046.55 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $882.49 | $14.71 – $1,638.90 |