Cyclophosphamide 25 mg capsule at St. Mary Medical Center
1050 Linden Ave, Long Beach, CA · CommonSpirit Health · · NPI 1194840421
$65.79
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.
$153.00
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.
$1.39 with United vs $93.00 with SMIPA — 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 |
|---|---|---|---|
| United | Commercial|All Other Plans | $1.39 | ↓ -98% |
| United | Commercial|Options PPO | $1.39 | ↓ -98% |
| United | Commercial|HMO | $1.39 | ↓ -98% |
| United | Commercial|Non-Options PPO | $1.45 | ↓ -98% |
| Health Net | Commercial|EPPO | $2.21 | ↓ -97% |
| Aetna | Commercial|HMO | $2.37 | ↓ -96% |
| Aetna | Commercial|PPO | $2.37 | ↓ -96% |
| Aetna | Commercial|All Other Plans | $2.37 | ↓ -96% |
| Health Net | Commercial|Care Product | $2.71 | ↓ -96% |
| Health Net | Commercial|All Other Plans | $3.10 | ↓ -95% |
| Blue Shield CA | Commercial|Exchange | $3.57 | ↓ -95% |
| Blue Shield CA | Commercial|All Other Plans | $3.57 | ↓ -95% |
| BCBS - Anthem | Commercial|Exchange | $10.57 | ↓ -84% |
| BCBS - Anthem | Commercial|All Other Plans | $15.77 | ↓ -76% |
| BCBS - Anthem | Medicaid|All Plans | $18.60 | ↓ -72% |
| DHR | Medicaid|< 21 | $23.25 | ↓ -65% |
| DHR | Medicaid|> 21 | $23.25 | ↓ -65% |
| BCBS - Anthem | Commercial|MCS | $24.45 | ↓ -63% |
| HCLA | Medicaid|Preferred IPA > 21 | $27.90 | ↓ -58% |
| HCLA | Medicaid|Preferred IPA < 21 | $27.90 | ↓ -58% |
| Preferred IPA | Medicaid|Risk | $32.55 | ↓ -51% |
| Cigna | Commercial|PPO | $42.78 | ↓ -35% |
| Cigna | Commercial|All Other Plans | $42.78 | ↓ -35% |
| Blue Shield CA | Medicare|BlueShield Promise | $60.45 | ↓ -8% |
| Kaiser | Commercial|All Plans | $65.10 | ↓ -1% |
| MultiPlan | Commercial|All Plans | $74.40 | ↑ +13% |
| SMIPA | Medicare|All Plans | $93.00 | ↑ +41% |
Visitor-reported prices
Comments
Cyclophosphamide 25 mg capsule at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $19.51 | $1.39 – $15.60 |
| French Hospital | San Luis Obispo | $60.76 | $1.39 – $61.74 |
| Mercy Hospitals – Bakersfield | Bakersfield | $26.35 | $1.39 – $9.60 |
| Queen of The Valley Medical Center | Napa | $43.02 | $2.28 – $2.45 |
| Providence St Joseph Hospital Eureka | Eureka | $43.02 | $2.45 – $3.96 |
| St. Joseph's Medical Center Stockton | Stockton | $17.06 | $1.39 – $20.50 |
| Santa Rosa Memorial Hospital | Santa Rosa | $9.03 | $2.28 – $2.45 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $40.49 | $1.85 – $3.96 |