Fomepizole 1 gram/ml intravenous solution at HSHS St. Vincent Hospital
835 S. Van Buren St., Green Bay, WI · Hshs · · NPI 1114908001
$37.42
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.
$56.70
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.
$6.43 with UNITY HEALTH PLAN vs $39.46 with MOLINA HEALTHCARE — 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 |
|---|---|---|---|
| UNITY HEALTH PLAN | UNITY HOSPICE | $6.43 | ↓ -83% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $6.43 | ↓ -83% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $6.43 | ↓ -83% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $6.43 | ↓ -83% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $6.43 | ↓ -83% |
| AETNA | AETNA MEDICARE | $6.43 | ↓ -83% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $6.43 | ↓ -83% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $6.49 | ↓ -83% |
| ANTHEM | ANTHEM POS/HMO | $9.06 | ↓ -76% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $9.54 | ↓ -75% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $9.54 | ↓ -75% |
| PREVEA HEALTH NETWORK | PREVEA360 | $9.54 | ↓ -75% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $9.54 | ↓ -75% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $10.61 | ↓ -72% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $10.61 | ↓ -72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $10.61 | ↓ -72% |
| ANTHEM | ANTHEM PPO | $11.19 | ↓ -70% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $14.48 | ↓ -61% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $18.09 | ↓ -52% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $18.62 | ↓ -50% |
| HUMANA | HUMANA NATIIONAL POS HMO | $22.32 | ↓ -40% |
| HUMANA | HUMANA CHOICE CARE HMO | $22.32 | ↓ -40% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $22.34 | ↓ -40% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $23.08 | ↓ -38% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $23.76 | ↓ -37% |
| AETNA | AETNA HSHS | $24.05 | ↓ -36% |
| CIGNA | ALL COMMERCIAL CIGNA | $26.06 | ↓ -30% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $26.43 | ↓ -29% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $26.81 | ↓ -28% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $26.81 | ↓ -28% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $26.81 | ↓ -28% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $26.81 | ↓ -28% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $27.18 | ↓ -27% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $27.18 | ↓ -27% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $27.92 | ↓ -25% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $31.27 | ↓ -16% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $31.27 | ↓ -16% |
| HUMANA | HUMANA CHOICE CARE PPO | $31.65 | ↓ -15% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $31.65 | ↓ -15% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $31.65 | ↓ -15% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $34.25 | ↓ -8% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $35.37 | ↓ -5% |
| TRIOLOGY | TRILOGY MEDICAID | $37.23 | ↓ -1% |
| AETNA | ALL COMMERCIAL AETNA | $37.23 | ↓ -1% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $37.23 | ↓ -1% |
| COFINITY | COFINITY | $37.23 | ↓ -1% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $37.23 | ↓ -1% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $37.23 | ↓ -1% |
| ANTHEM | ANTEHM MEDICAID | $37.23 | ↓ -1% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $37.23 | ↓ -1% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $37.23 | ↓ -1% |
| CENPATICO | ALL MEDICAID CENPATICO | $37.23 | ↓ -1% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $37.23 | ↓ -1% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $39.46 | ↑ +5% |
Visitor-reported prices
Comments
Fomepizole 1 gram/ml intravenous solution at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Baycare Medical Center | Green Bay | not published | $6.16 – $19.34 |
| Adventhealth Durand | Durand | $755.92 | not published |
| SSM Health Monroe Hospital | Monroe | not published | $6.18 – $40.95 |
| SSM Health Ripon Community Hospital | Ripon | not published | $16.76 – $16.76 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $4.64 – $16.76 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $16.76 – $16.76 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | not published | $6.16 – $19.34 |
| Aurora Medical Center Summit | Summit | not published | $6.16 – $19.34 |