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Cyclophosphamide

Massachusetts rates for HCPCS J9070

Cyclophosphamide, 100 mg

Rates data updated July 2026.

How much does Cyclophosphamide cost?

$22.39per 100 mg

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $22.39 for each 100 mg of this drug. The price depends on where it is billed: about $22.39 from a physician practice, and about $148 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 100 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$22.39
At a hospital outpatient department
$148

The same drug, in the same amount, costs 561% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$22.39$22.39 to $30.20
FacilityA hospital or hospital-owned outpatient department$148$148 to $302

How much rates vary

Facilitymedian $148 · 10th to 90th $141 to $708Professionalmedian $22 · 10th to 90th $22 to $832
$20$50$100$200$500$1K$2Kfacility $148professional $22

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$26.30
Health New England
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$302.00
Typical High
$2,187.76
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$34.67

Where Massachusetts sits

The same service costs 1862.1 times more in Kentucky than in Minnesota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Massachusetts· 39th of 50

$22.39

KY $38,905MN $20.89

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.