Cyclophosphamide 25 mg capsule at HCA HEALTHCARE BRIGHTON PARK ER
401 N LIVE OAK DR, MONCKS CORNER, SC · HCA Trident Health System · · NPI 1366496937
not published by hospital
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.
not published by hospital
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.
$1.11 with Humana vs $165.00 with United Behavioral Health — 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 |
|---|---|---|---|
| Humana | Tricare | $1.11 | — |
| United | AllPayerAppendix | $3.00 | — |
| Aetna | MCR | $24.75 | — |
| Molina | HIX | $29.70 | — |
| Medcost | NEWULTRA | $63.03 | — |
| United | OptionsPPO | $66.00 | — |
| United | GlobalBenefit | $74.25 | — |
| Employers Health Network | COMM | $74.25 | — |
| Medcost | NEWPAYER | $88.77 | — |
| Vocational Rehab | MCR | $89.10 | — |
| Medcost | STANDARD | $92.73 | — |
| Humana BH | COMM | $107.25 | — |
| First Health | PPO | $120.45 | — |
| Humana Choicecare | PPO | $123.75 | — |
| Evernorth | BHCOMM | $132.00 | — |
| Prime Health | COMM | $140.25 | — |
| Multiplan | COMM | $140.25 | — |
| NovaNet | COMM | $148.50 | — |
| BCBS | COMM | $156.75 | — |
| United Behavioral Health | VACCN | $165.00 | — |
| Aetna SC | AFA | not published by hospital | — |
| Aetna SC | FI | not published by hospital | — |
| Aetna SC | NB | not published by hospital | — |
| Aetna SC | SI | not published by hospital | — |
Visitor-reported prices
Comments
Cyclophosphamide 25 mg capsule at other South-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson | not published | $1.11 – $3.00 |