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Cyclophosphamide

Ohio 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 Ohio, 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 $30.20 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
$30.20

The same drug, in the same amount, costs 35% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 $22.39
FacilityA hospital or hospital-owned outpatient department$30.20$27.54 to $38,905

How much rates vary

Facilitymedian $30 · 10th to 90th $20 to $38,905Professionalmedian $22 · 10th to 90th $21 to $33
$10$100$1K$10Kfacility $30professional $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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$27.54
Typical High
$30.20
CareSource
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$38,904.51
Typical High
$48,977.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$22.39
Typical High
$26.30
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$5.37
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$33.11

Where Ohio 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.

Ohio· 27th 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.