Cyclophosphamide 25 mg capsule at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
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 $42.51 with Independent Medical Systems — 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 | — |
| TriWest Health Alliance | TRCR | $1.14 | — |
| Superior Health Plan | MCDSTAR | $2.98 | — |
| Superior Health Plan | CHIP | $2.98 | — |
| Superior Health Plan | STARKids | $2.98 | — |
| Superior Health Plan | STARPLUS | $2.98 | — |
| Superior Health Plan | STARHealth | $2.98 | — |
| United | SmallGroup | $3.00 | — |
| United | AllPayerAppendix | $3.00 | — |
| United | NarrowNetworkIndivExchange | $3.00 | — |
| Cigna | IFP | $5.74 | — |
| Cigna | QHP | $5.95 | — |
| Aetna | QHPHIX | $6.93 | — |
| United | OptionsPPO | $7.40 | — |
| Aetna | NewBusiness | $10.12 | — |
| Aetna | COMM | $10.88 | — |
| Aetna | Meritain | $10.88 | — |
| Cigna | LocalPlus | $11.98 | — |
| Cigna | NewBusiness | $11.99 | — |
| LifeCare Hospitals | MGMCD | $12.75 | — |
| Aetna | OON | $12.75 | — |
| LifeCare Hospitals | MGMCR | $12.75 | — |
| Cigna | NetworkBenefit | $13.38 | — |
| Cigna | HMO | $13.38 | — |
| Cigna | OpenAccessPlus | $13.38 | — |
| Healthcare Highways | CityofPlano | $14.37 | — |
| BCBS | BluePremier | $16.05 | — |
| BCBS | MyBlueHealth | $16.73 | — |
| BCBS | BlueAdvantageHMO | $16.73 | — |
| Cigna | AllOther | $16.93 | — |
| Prominence Health Plan | HIX | $17.00 | — |
| BCBS | Traditional | $18.87 | — |
| City of McKinney | COMM | $19.13 | — |
| National ChoiceCare | WCOMP | $21.25 | — |
| Aetna | ASA | $22.40 | — |
| Rockport Health Group | WORKERSCOMP | $23.38 | — |
| PC Texas Partners | WCOMP | $23.38 | — |
| Physicians Coop of TX | MGMCR | $23.38 | — |
| Aetna | WCOMP | $23.38 | — |
| BCBS | BlueEssentialsAccess | $24.49 | — |
| BCBS | BlueEssentials | $24.49 | — |
| Averde Health, Inc | PPO | $24.66 | — |
| BCBS | EPOSOA | $25.70 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $25.72 | — |
| Aetna Coventry First Health | EXCLUSIVE | $25.72 | — |
| BCBS | PPO | $26.92 | — |
| Texas Healthcare Foundation WC | WORKERSCOMP | $27.63 | — |
| Mega Life | MGMCRPPO | $29.76 | — |
| Coastal Comp Health Networks | WCOMP | $29.76 | — |
| HealthSmart Preferred Care | PPO | $31.88 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $31.88 | — |
| USA Managed Care | COMM | $34.01 | — |
| USC Health Services | COMM | $34.01 | — |
| Humana | COMM | $34.77 | — |
| Galaxy Health Network | PPO | $36.13 | — |
| National Healthcare Solutions | COMM | $42.51 | — |
| Unicare | MCD | $42.51 | — |
| Independent Medical Systems | COMM | $42.51 | — |
Visitor-reported prices
Comments
Cyclophosphamide 25 mg capsule at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $19.49 | $1.74 – $9.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $19.49 | $3.04 – $9.23 |
| Texas Health Hospital Frisco | Frisco | $18.05 | $6.33 – $6.33 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $19.49 | $1.81 – $9.23 |
| 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 - COLLEGE STATION | College Station | $19.49 | $1.81 – $9.77 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $19.49 | $1.81 – $9.77 |