Cyclophosphamide injection, 5 mg at Proctor Community Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION

Peoria, IL

See all hospitals reporting HCPCS J9074 →

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Pricing by billing methodology

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How this price compares nationally

Proctor Community Hospital’s median price of $54 is 995% above the median hospital's median price ($5), higher than 89% of the 1,178 hospitals reporting HCPCS J9074. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J9074 at Proctor Community Hospital

Negotiated rates from the hospital’s own file: 9 payers, 23 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	Aetna medicare advantage case rate · outpatient	$4	$4	—	—	—	$4 – $4
2	Blue Cross Blue Shield medicare advantage case rate · outpatient	$4	$4	—	—	—	$4 – $4
3	Humana medicare advantage case rate · outpatient	$4	$4	—	—	—	$4 – $4
4	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
5	Molina medicare-medicaid (mmai/dual) case rate · outpatient	$4	$4	—	—	—	$4 – $4
6	UnitedHealthcare medicare advantage case rate · outpatient	$4	$4	—	—	—	$4 – $4
7	UnitedHealthcare va ccn case rate · outpatient	$4	$4	—	—	—	$4 – $4
8	WellCare medicare advantage hmo case rate · outpatient	$4	$4	—	—	—	$4 – $4
9	Aetna Better Health managed medicaid percent of total billed charges · inpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
10	Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
11	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$54	$54	—	—	—	$54 – $54
12	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$54	$54	—	—	—	$54 – $54
13	Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges	$54	$54	—	—	—	$54 – $54
14	Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges	$70	$70	—	—	—	$70 – $70
15	Blue Cross Blue Shield blue choice options percent of total billed charges · outpatientfrom % of charges	$70	$70	—	—	—	$70 – $70
16	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$71	$71	—	—	—	$71 – $71
17	UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges	$72	$72	—	—	—	$72 – $72
18	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$72	$72	—	—	—	$72 – $72
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$86	$86	—	—	—	$86 – $86
20	Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
21	MultiPlan ppo percent of total billed charges · inpatientfrom % of charges	$89	$89	—	—	—	$89 – $89
22	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$89	$89	—	—	—	$89 – $89
23	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120

Last updated: Apr 15, 2026

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