Cyclophosphamide 25 mg capsule at Methodist Charlton Medical Center
3500 W Wheatland Road, Dallas, TX · Methodisthealthsystem · · NPI 1275592131
$14.37
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.
$28.75
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.
$2.56 with UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] vs $23.62 with BCBS [3001] — 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 HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $2.56 | ↓ -82% |
| MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MCMC | $11.02 | ↓ -23% |
| SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCMC | $11.02 | ↓ -23% |
| BCBS [3001] | MHS HB BCBS MY BLUE HEALTH MCMC | $11.59 | ↓ -19% |
| BCBS [3001] | MHS HB BCBS HIGH PERFORMANCE NETWORK MCMC | $20.47 | ↑ +42% |
| BCBS [3001] | MHS HB BCBS PREMIER MCMC | $20.47 | ↑ +42% |
| BCBS [3001] | MHS HB BCBS CITY OF DALLAS MCMC | $21.24 | ↑ +48% |
| WEB TPA [3049] | MHS HB CUSTOM INK MCMC | $21.56 | ↑ +50% |
| CIGNA [3004] | MHS HB CUSTOM INK MCMC | $21.56 | ↑ +50% |
| BCBS [3001] | MHS HB BCBS HMO MCMC | $21.73 | ↑ +51% |
| BCBS [3001] | MHS HB BCBS TRADITIONAL MCMC | $23.62 | ↑ +64% |
| BCBS [3001] | MHS HB BCBS PPO MCMC | $23.62 | ↑ +64% |
Visitor-reported prices
Comments
Cyclophosphamide 25 mg capsule at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $19.49 | $1.81 – $9.23 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $18.05 | $6.33 – $6.33 |
| Methodist Dallas Medical Center | Dallas | $30.12 | $6.26 – $23.18 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas | not published | $1.11 – $13.53 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $1.14 – $34.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $19.49 | $1.34 – $9.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $19.49 | $1.30 – $8.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $19.49 | $1.74 – $9.23 |