Cyclophosphamide 1 gram intravenous powder for solution at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$31.59
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.
$180.48
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.
$6.07 with PGT vs $47.58 with BCBS-TX — 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 |
|---|---|---|---|
| PGT | Medicare|All Plans | $6.07 | ↓ -81% |
| BCBS | Medicare|All Plans | $6.19 | ↓ -80% |
| AETNA | Medicare|All Plans | $6.19 | ↓ -80% |
| UNITED | Medicare|All Plans | $6.31 | ↓ -80% |
| AMERIVANTAGE | Medicare|All Plans | $6.38 | ↓ -80% |
| SCANHealth | Medicare|All Plans | $6.62 | ↓ -79% |
| Cigna | Commercial|Local Plus | $8.09 | ↓ -74% |
| Ambetter | Commercial|All Plans | $8.97 | ↓ -72% |
| Wellpoint | Commercial|Exchange | $9.28 | ↓ -71% |
| United | Commercial|Exchange | $9.52 | ↓ -70% |
| Wellpoint | Medicaid|All Other Plans | $12.00 | ↓ -62% |
| Bright Health | Commercial|All Plans | $15.71 | ↓ -50% |
| Wellpoint | Medicaid|STAR | $16.49 | ↓ -48% |
| United | Commercial|All Other Plans | $17.13 | ↓ -46% |
| Ellwood | Commercial|All Plans | $18.56 | ↓ -41% |
| Entrust | Commercial|All Plans | $19.99 | ↓ -37% |
| NX Health | Commercial|All Plans | $20.11 | ↓ -36% |
| Health Smart | Commercial|All Plans | $26.17 | ↓ -17% |
| First Health | Commercial|All Plans | $28.55 | ↓ -10% |
| Humana | Commercial|All Plans | $29.03 | ↓ -8% |
| Cigna | Commercial|All Other Plans | $30.46 | ↓ -4% |
| Aetna | Commercial|All Plans | $31.41 | ↓ -1% |
| PHCS | Commercial|All Plans | $40.45 | ↑ +28% |
| Multiplan | Commercial|All Plans | $42.83 | ↑ +36% |
| BCBS-TX | Commercial|Ref Lab | $47.58 | ↑ +51% |
Visitor-reported prices
Comments
Cyclophosphamide 1 gram intravenous powder for solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $3,598.06 | $2.18 – $2.18 |
| HCA HOUSTON KINGWOOD | HUMBLE | $717.76 | $0.59 – $2.01 |
| HCA HOUSTON NORTHWEST | SPRING | $376.38 | $0.80 – $2.01 |
| Baylor St Luke's Medical Center | Houston | $779.37 | $226.43 – $1,029.19 |
| St. Luke's Health Memorial Lufkin | Lufkin | $2,542.07 | $42.90 – $275.73 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $779.37 | $226.43 – $1,029.19 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $779.37 | $226.43 – $1,029.19 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $779.37 | $226.43 – $1,029.19 |