Cyclophosphamide 25 mg capsule at Johnson City Medical Center
400 N. STATE OF FRANKLIN RD, JOHNSON CITY, TN · Balladhealth · · NPI 1972606465
$2.32
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.
$15.48
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.
$1.18 with MEDCOST vs $7.37 with AMBETTER — 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 |
|---|---|---|---|
| MEDCOST | MEDCOST VHN | $1.18 | ↓ -49% |
| SENTARA HEALTH | SENTARA HEALTH | $1.18 | ↓ -49% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1.31 | ↓ -44% |
| CIGNA HEALTHCARE | CIGNA HMO | $1.31 | ↓ -44% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1.32 | ↓ -43% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1.32 | ↓ -43% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1.32 | ↓ -43% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1.53 | ↓ -34% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1.57 | ↓ -32% |
| CIGNA HEALTHCARE | CIGNA PPO | $1.63 | ↓ -30% |
| AETNA | AETNA | $2.16 | ↓ -7% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2.43 | ↑ +5% |
| BLUE CROSS | BLUE CROSS E NETWORK | $2.43 | ↑ +5% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2.43 | ↑ +5% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2.54 | ↑ +9% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3.38 | ↑ +46% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $3.38 | ↑ +46% |
| HUMANA | HUMANA MEDICARE | $3.38 | ↑ +46% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3.38 | ↑ +46% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3.38 | ↑ +46% |
| AMERIGROUP | AMERIGROUP | $3.38 | ↑ +46% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3.38 | ↑ +46% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3.38 | ↑ +46% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3.38 | ↑ +46% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3.38 | ↑ +46% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3.38 | ↑ +46% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3.38 | ↑ +46% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3.38 | ↑ +46% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3.38 | ↑ +46% |
| WELLCARE | WELLCARE MEDICAID | $3.38 | ↑ +46% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3.38 | ↑ +46% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3.38 | ↑ +46% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3.38 | ↑ +46% |
| SENTARA HEALTH | SENTARA MEDICARE | $3.38 | ↑ +46% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3.52 | ↑ +52% |
| WELLCARE | WELLCARE MEDICARE | $3.58 | ↑ +54% |
| AMBETTER | AMBETTER | $7.37 | ↑ +218% |
Visitor-reported prices
Comments
Cyclophosphamide 25 mg capsule at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Woods Community Hospital | JOHNSON CITY | $1.26 | $0.71 – $4.14 |
| Ascension Saint Thomas Midtown | Nashville | $2.67 | $0.95 – $5.49 |
| 62-1166050 BMH Carroll County | Huntingdon | $3.66 | $0.75 – $0.88 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $2.67 | $0.95 – $5.49 |
| Bristol Regional Medical Center | BRISTOL | $1.26 | $0.58 – $4.14 |
| Holston Valley Medical Center | KINGSPORT | $2.32 | $0.58 – $4.14 |
| 62-0123940 BMH Collierville | Collierville | $3.34 | $0.88 – $0.88 |
| 62-1138045 BMH Union City | Union City | $3.18 | $0.75 – $0.88 |