Cyclophosphamide 25 mg capsule at Hackensack University Medical Center

30 Prospect Avenue, Hackensack, NJ · Hackensack Meridian Health · · NPI 1457456279

Source: hospital's published price file ↗ · Published Dec 31, 2025 · Ingested Aug 13, 2026

not published by hospital

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.

$20.56

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.

$0.57 with CLOVER vs $2.83 with BRIGHTON HEALTH PLAN — 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
CLOVER MEDICARE ADVANTAGE $0.57
OPTUM HEALTH MANAGED MEDICAID $0.69
KARNA MEDICARE ADVANTAGE $0.82
AETNA MEDICARE ADVANTAGE $0.93
AMERIHEALTH LOCAL HMO $1.03
CIGNA PPO $1.06
CIGNA HMO $1.06
AMERIHEALTH REGIONAL HMO $1.14
HORIZON MANAGED MEDICAID $1.16
AETNA HMO $1.34
AETNA PPO $1.34
AETNA ASA $1.34
WELLCARE MANAGED MEDICAID $1.41
WELLCARE MEDICARE ADVANTAGE $1.41
AETNA MANAGED MEDICAID $1.54
SEOUL MEDICAL GROUP ALL PRODUCTS $1.57
AMERIGROUP MANAGED MEDICAID $1.57
LHP HEALTH ALL PRODUCTS $1.63
OXFORD ALL PRODUCTS $1.77
UNITED HEALTHCARE HMO $1.77
BERGEN RISK ALL PRODUCTS $1.88
HORIZON OMNIA $1.89
ACTIVECARE FIRST MCO ALL PRODUCTS $2.04
CHN ALL PRODUCTS $2.04
HORIZON WORKERS COMP $2.16
INTERGROUP ALL PRODUCTS $2.20
HORIZON PIP $2.36
CIGNA BH $2.51
MULTIPLAN - PHCS ALL PRODUCTS $2.67
HORIZON HMO $2.75
HORIZON INDEMNITY $2.76
QUALCARE HMO $2.77
QUALCARE PPO $2.77
QUALCARE WORKERS COMP $2.77
HORIZON SHP $2.78
HORIZON FEDERAL $2.81
HORIZON PPO $2.81
BRIGHTON HEALTH PLAN ALL PRODUCTS $2.83
HORIZON BCBS BRAVEN MEDICARE ADVANTAGE not published by hospital
HORIZON MEDICARE ADVANTAGE not published by hospital
VACCN ALL PRODUCTS not published by hospital
UNITED COMMUNITY/AMERICHOICE MEDICARE ADVANTAGE not published by hospital

Visitor-reported prices

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Cyclophosphamide 25 mg capsule at other New-jersey hospitals

Hospital City Cash price Negotiated range
Trinitas Regional Medical Center Elizabeth not published $0.66 – $5.12
Cooperman Barnabas Medical Center Livingston not published $0.66 – $1.03
Community Medical Center Toms River not published $0.66 – $1.01
Clara Maass Medical Center Belleville not published $0.66 – $1.03
Newark Beth Israel Medical Center Newark not published $0.66 – $1.03
Jersey City Medical Center Jersey City not published $0.66 – $4.16
Monmouth Medical Center Long Branch not published $0.66 – $1.03
Bayshore Medical Center Holmdel not published $1.68 – $2.10

All New-jersey hospitals for this procedure →