go back

Cyclophosphamide

New York 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 New York, 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 $25.12 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
$25.12

The same drug, in the same amount, costs 12% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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 $22.39
FacilityA hospital or hospital-owned outpatient department$25.12$25.12 to $27.54

How much rates vary

Facilitymedian $25 · 10th to 90th $25 to $28Professionalmedian $22 · 10th to 90th $22 to $30
$5$10$20$50facility $25professional $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
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$28.84
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$22.39
Typical High
$26.30
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.61
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$30.20
Univera
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Univera
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$25.12
Typical High
$25.12

Where New York 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.

New York· 22nd 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.