Fomepizole 1 gram/ml intravenous solution at MEDICAL CITY WEATHERFORD HOSPITAL

713 East Anderson Street, Weatherford, TX · Medicalcityhealthcare · · NPI 1417471467

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$26,004.37

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.

Full explanation →

What you pay up front if you don't use insurance.

$26,004.37

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 $26,004.37 with National Healthcare Solutions — 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 NarrowNetworkIndivExchange $10.61 ↓ -100%
United AllPayerAppendix $10.61 ↓ -100%
United SmallGroup $10.61 ↓ -100%
BCBS BlueAdvantageHMO $35.78 ↓ -100%
BCBS BlueEssentials $52.37 ↓ -100%
BCBS BlueEssentialsAccess $52.37 ↓ -100%
BCBS EPOSOA $54.96 ↓ -100%
BCBS PPO $57.55 ↓ -100%
BCBS BluePremier $64.50 ↓ -100%
Cigna LocalPlus $78.00 ↓ -100%
Cigna NewBusiness $78.07 ↓ -100%
Cigna OpenAccessPlus $87.14 ↓ -100%
Cigna HMO $87.14 ↓ -100%
Cigna NetworkBenefit $87.14 ↓ -100%
Humana COMM $94.93 ↓ -100%
Cigna AllOther $110.24 ↓ -100%
Superior Health Plan CHIP $1,820.31 ↓ -93%
Superior Health Plan STARHealth $1,820.31 ↓ -93%
Superior Health Plan MCDSTAR $1,820.31 ↓ -93%
Superior Health Plan STARKids $1,820.31 ↓ -93%
Superior Health Plan STARPLUS $1,820.31 ↓ -93%
Cigna IFP $3,510.59 ↓ -86%
Cigna QHP $3,640.61 ↓ -86%
Aetna QHPHIX $4,238.71 ↓ -84%
Aetna NewBusiness $6,189.04 ↓ -76%
United OptionsPPO $6,267.05 ↓ -76%
Aetna Meritain $6,657.12 ↓ -74%
Aetna COMM $6,657.12 ↓ -74%
Aetna OON $7,801.31 ↓ -70%
BCBS Traditional $11,545.94 ↓ -56%
Aetna ASA $13,704.30 ↓ -47%
Aetna Coventry First Health EXCLUSIVE $15,316.57 ↓ -41%
Aetna Coventry First Health NONEXCLUSIVE $15,316.57 ↓ -41%
HealthSmart Preferred Care PPO $18,463.10 ↓ -29%
Parker County LOGOV $19,503.28 ↓ -25%
Independent Medical Systems COMM $26,004.37 ↑ +0%
National Healthcare Solutions COMM $26,004.37 ↑ +0%

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
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

All Texas hospitals for this procedure →