Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
CYCLOPHOSPHAMIDE 200 MG/ML INTRAVENOUS SOLN [148004]
Arlington, TX
See all hospitals reporting HCPCS J9075 →Price type
AMH Cath Labs LLC’s median price of $651 is 30745% above the median hospital's median price ($2), higher than 85% of the 1,854 hospitals reporting HCPCS J9075. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 33 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Humana medicare advantage case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Molina medicare advantage case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 6 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 7 | WellCare medicare advantage mmp case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 10 | Blue Cross Blue Shield exchange fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 11 | Blue Cross Blue Shield ppo fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 12 | Blue Cross Blue Shield traditional fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 13 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $166 | $166 | $49 | 29% | — | $117 – $215 |
| 14 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $166 | $166 | $49 | 29% | — | $117 – $215 |
| 15 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $175 | $175 | $51 | 29% | — | $123 – $226 |
| 16 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $180 | $180 | $53 | 29% | — | $127 – $232 |
| 17 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $183 | $183 | $54 | 29% | — | $129 – $237 |
| 18 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $646 | $646 | $190 | 29% | — | $456 – $836 |
| 19 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $793 | $793 | $233 | 29% | — | $560 – $1.0k |
| 20 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $861 | $861 | $253 | 29% | — | $608 – $1.1k |
| 21 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $966 | $966 | $284 | 29% | — | $682 – $1.3k |
| 22 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | $301 | 29% | — | $723 – $1.3k |
| 23 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | $304 | 29% | — | $729 – $1.3k |
| 24 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $311 | 29% | — | $747 – $1.4k |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | $382 | 29% | — | $916 – $1.7k |
Last updated: Apr 21, 2026
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