Cyclophosphamide 25 mg capsule at Methodist Hospital of Sacramento
7500 Hospital Dr., Sacramento, CA · CommonSpirit Health · · NPI 1467560599
$20.45
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.
$71.00
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.
$1.21 with Hill Physicians vs $46.48 with MultiPlan — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $1.21 | ↓ -94% |
| United | Commercial|Options PPO | $1.39 | ↓ -93% |
| United | Commercial|HMO | $1.39 | ↓ -93% |
| United | Commercial|All Other Plans | $1.39 | ↓ -93% |
| United | Commercial|Non-Options PPO | $1.45 | ↓ -93% |
| Hill Physicians | Medicare|All Plans | $1.62 | ↓ -92% |
| Aetna | Commercial|HMO | $2.43 | ↓ -88% |
| Aetna | Commercial|PPO | $2.43 | ↓ -88% |
| Aetna | Commercial|All Other Plans | $2.43 | ↓ -88% |
| Cigna | Commercial|LocalPlus | $2.65 | ↓ -87% |
| Health Net | Commercial|EPPO | $3.50 | ↓ -83% |
| Cigna | Commercial|All Other Plans | $3.54 | ↓ -83% |
| Blue Shield CA | Commercial|All Other Plans | $3.57 | ↓ -83% |
| Blue Shield CA | Commercial|CalPers | $3.57 | ↓ -83% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3.57 | ↓ -83% |
| Blue Shield CA | Commercial|ACO Trio | $3.57 | ↓ -83% |
| Blue Shield CA | Commercial|HMO | $3.57 | ↓ -83% |
| Blue Shield CA | Commercial|Exchange | $3.57 | ↓ -83% |
| Health Net | Commercial|FFS | $6.71 | ↓ -67% |
| Western Health Advantage | Commercial|All Plans | $7.95 | ↓ -61% |
| BCBS - Anthem | Commercial|Connection EPO | $8.49 | ↓ -58% |
| BCBS - Anthem | Commercial|All Other Plans | $10.61 | ↓ -48% |
| BCBS - Anthem | Commercial|MCS | $14.12 | ↓ -31% |
| Kaiser | Medicaid|All Plans | $22.96 | ↑ +12% |
| First Health | Commercial|All Plans | $42.00 | ↑ +105% |
| Kaiser | Commercial|All Plans | $44.24 | ↑ +116% |
| Sutter Health | Commercial|All Plans | $44.80 | ↑ +119% |
| Healthsmart | Commercial|All Plans | $45.36 | ↑ +122% |
| MultiPlan | Commercial|All Plans | $46.48 | ↑ +127% |
Visitor-reported prices
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Cyclophosphamide 25 mg capsule at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy General Hospital | Sacramento | $15.48 | $1.21 – $9.60 |
| 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 |