Fomepizole 1 gram/ml intravenous solution at Inova Fairfax Hospital

3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714

Source: hospital's published price file ↗ · Published unknown · Ingested Aug 12, 2026

$19.32

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.

$38.64

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.

$6.28 with anthem vs $302.51 with kaiser — 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
anthem hmo $6.28 ↓ -67%
anthem ppo $6.28 ↓ -67%
anthem exchange hmo $6.28 ↓ -67%
aetna medicare advantage $6.28 ↓ -67%
united medicare advantage $6.28 ↓ -67%
anthem medicare advantage $6.28 ↓ -67%
sentara health medicare advantage $6.40 ↓ -67%
kaiser medicare advantage $6.53 ↓ -66%
cigna medicare advantage $6.53 ↓ -66%
humana medicare advantage $6.90 ↓ -64%
united options $9.95 ↓ -48%
united exchange $9.95 ↓ -48%
united nonoptions $9.95 ↓ -48%
kaiser ppo $11.21 ↓ -42%
kaiser hmo $11.21 ↓ -42%
sentara health exchange $20.09 ↑ +4%
sentara health hmo $26.43 ↑ +37%
sentara health ppo $26.43 ↑ +37%
anthem medicaid advantage $275.01 ↑ +1323%
united medicaid advantage $280.51 ↑ +1352%
sentara health medicaid advantage $283.26 ↑ +1366%
humana medicaid advantage $286.01 ↑ +1380%
aetna medicaid advantage $288.76 ↑ +1395%
kaiser medicaid advantage $302.51 ↑ +1466%

Visitor-reported prices

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Fomepizole 1 gram/ml intravenous solution at other Virginia hospitals

Hospital City Cash price Negotiated range
Johnston Memorial Hospital ABINGDON $1,917.15 $6.43 – $243.03
Russell County Hospital LEBANON $1,660.73 $6.43 – $243.03
Lonesome Pine Hospital BIG STONE GAP $1,091.65 $3.81 – $250.56
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $7,209.00 $17.04 – $17.04
Smyth County Community Hospital MARION $1,660.73 $6.43 – $243.03
Dickenson Community Hospital CLINTWOOD $1,818.86 $6.58 – $361.20
Lee County Community Hospital PENNINGTON GAP $2,939.63 $6.58 – $361.20
Southern Virginia Medical Center Emporia $6,301.42 not published

All Virginia hospitals for this procedure →