Cyclophosphamide 25 mg capsule at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$94.00
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.
$94.00
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.
$1.82 with Christus (USFHP) vs $84.60 with Affiliated PPO — 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 |
|---|---|---|---|
| Christus (USFHP) | TRICARE | $1.82 | ↓ -98% |
| TriWest Health Alliance | TRCR | $1.82 | ↓ -98% |
| United | NarrowNetworkIndivExchange | $3.00 | ↓ -97% |
| United | SmallGroup | $3.00 | ↓ -97% |
| United | AllPayerAppendix | $3.00 | ↓ -97% |
| Cigna | CSN | $4.79 | ↓ -95% |
| Cigna | OpenAccessPlus | $5.19 | ↓ -94% |
| Superior Health Plan | CHIP | $5.64 | ↓ -94% |
| Superior Health Plan | STARPLUS | $5.64 | ↓ -94% |
| Superior Health Plan | STARKids | $5.64 | ↓ -94% |
| Superior Health Plan | STAR | $5.64 | ↓ -94% |
| Superior Health Plan | CHPFC | $5.64 | ↓ -94% |
| Cigna | PPO | $6.18 | ↓ -93% |
| Aetna | MCR | $6.23 | ↓ -93% |
| BCBS | MyBlueHealth | $9.51 | ↓ -90% |
| BCBS | BAV | $10.48 | ↓ -89% |
| Community Health Choice MCD | CHIPPerinatal | $12.22 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $12.22 | ↓ -87% |
| Community Health Choice MCD | STAR | $12.22 | ↓ -87% |
| Community Health Choice MCD | CHIP | $12.22 | ↓ -87% |
| BCBS | HMO | $13.10 | ↓ -86% |
| BCBS | EPOSOA | $13.10 | ↓ -86% |
| BCBS | PPO | $13.10 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $13.16 | ↓ -86% |
| Amerigroup | MGMCD | $13.16 | ↓ -86% |
| Texas Childrens Health Plans | CHIP | $15.60 | ↓ -83% |
| United | OptionsPPO | $15.79 | ↓ -83% |
| Superior | EPO | $16.45 | ↓ -83% |
| Superior | HMO | $16.45 | ↓ -83% |
| Superior | ValueHMO | $18.61 | ↓ -80% |
| Texas Childrens Health Plans | STAR | $22.28 | ↓ -76% |
| Texas Childrens Health Plans | STARKIDS | $22.28 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $22.56 | ↓ -76% |
| Molina Healthcare | HIX | $25.38 | ↓ -73% |
| CHC Harris Health | Indigent | $28.20 | ↓ -70% |
| BCBS | Traditional | $32.90 | ↓ -65% |
| HealthSmart Preferred Care | ACCEL | $40.42 | ↓ -57% |
| United | GlobalAppendix | $42.30 | ↓ -55% |
| Humana | PPO | $47.34 | ↓ -50% |
| Humana | HMO | $47.34 | ↓ -50% |
| Coventry National First Health | COMM | $50.10 | ↓ -47% |
| Rockport Workers Comp | COMM | $51.70 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $51.70 | ↓ -45% |
| Triumph | COMM | $56.40 | ↓ -40% |
| Independent Medical System | COMM | $56.40 | ↓ -40% |
| National Healthcare Solutions | COMM | $56.40 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $56.40 | ↓ -40% |
| Coastal Comp | COMM | $61.10 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $70.50 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $75.20 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $77.08 | ↓ -18% |
| Multiplan | ComplementaryNetwork | $79.90 | ↓ -15% |
| Physicians, INC | COMM | $79.90 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $79.90 | ↓ -15% |
| Affiliated PPO | COMM | $84.60 | ↓ -10% |
| Aetna | NBHMO | not published by hospital | — |
| Aetna | NBPOS | not published by hospital | — |
| Aetna | COMMPPO | not published by hospital | — |
| Aetna | NBPPO | not published by hospital | — |
| Aetna | ASAHMO | not published by hospital | — |
| Aetna | COMMPOS | not published by hospital | — |
| Aetna | OONHMO | not published by hospital | — |
| Aetna | COMMHMO | not published by hospital | — |
| Aetna | OONPOS | not published by hospital | — |
| Aetna | ASAPPO | not published by hospital | — |
| Aetna | ASAPOS | not published by hospital | — |
| Aetna | OONPPO | not published by hospital | — |
| Aetna | QHPExchange | not published by hospital | — |
Visitor-reported prices
Comments
Cyclophosphamide 25 mg capsule at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $1.81 | $0.35 – $1.57 |
| St. Luke's Health - The Vintage Hospital | Houston | $1.81 | $0.35 – $1.57 |
| HCA HOUSTON TOMBALL | HOUSTON | $102.69 | $1.14 – $47.34 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1.14 – $47.34 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $144.02 | $1.14 – $47.34 |
| HCA HOUSTON KINGWOOD | HUMBLE | $130.76 | $1.82 – $47.34 |
| St. Joseph Health Madison Hospital | Madisonville | $1.71 | $0.84 – $8.79 |
| St. Luke's Health Memorial Lufkin | Lufkin | $12.49 | $1.24 – $36.33 |