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
CYCLOSPORINE MODIFIED 25 MG CAPSULE
Low
$1
Average
$38
Median
$17
High
$303
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
60 payers; the 90th percentile is 35.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +26 other terms | 286 | $2 | $10 | $45 | 465% | 2–20 | $0 – $468 |
| 2 | UnitedHealthcare fee schedule · outpatient · +27 other terms | 501 | $1 | $12 | $45 | 386% | — | $0 – $483 |
| 3 | Cigna fee schedule · outpatient · +21 other terms | 384 | $1 | $15 | $428 | 2859% | — | $0 – $19.3k |
| 4 | Aetna fee schedule · outpatient · +24 other terms | 272 | $2 | $5 | $15 | 290% | — | $0 – $117 |
| 5 | Humana fee schedule · outpatient · +20 other terms | 184 | $1 | $13 | $54 | 403% | — | $0 – $899 |
| 6 | Anthem fee schedule · outpatient · +23 other terms | 98 | $1 | $2 | $4 | 162% | — | $0 – $49 |
| 7 | MultiPlan fee schedule · outpatient · +16 other terms | 85 | $12 | $60 | $110 | 182% | — | $0 – $483 |
| 8 | Highmark facility · fee schedule · outpatient · +13 other terms | 51 | $1 | $6 | $6 | 95% | — | $1 – $23 |
| 9 | Caresource fee schedule · outpatient · +14 other terms | 43 | $1 | $3 | $6 | 228% | — | $0 – $38 |
| 10 | Kaiser fee schedule · both · +16 other terms | 43 | $1 | $1 | $0 | 26% | — | $1 – $2 |
| 11 | Molina fee schedule · outpatient · +19 other terms | 39 | $2 | $5 | $9 | 175% | — | $0 – $48 |
| 12 | Medica fee schedule · outpatient · +15 other terms | 37 | $3 | $39 | $92 | 239% | — | $0 – $473 |
| 13 | First Health fee schedule · outpatient · +14 other terms | 36 | $6 | $4 | $5 | 121% | — | $0 – $27 |
| 14 | Bcbs Tx fee schedule · outpatient · +4 other terms | 28 | $3 | $3 | $1 | 31% | — | $1 – $5 |
| 15 | Medcost percent of total billed charges · bothfrom % of charges · +5 other terms | 28 | $8 | $16 | $13 | 81% | — | $0 – $36 |
| 16 | Oscar facility · fee schedule · outpatient · +11 other terms | 27 | $1 | $1 | $0 | 14% | — | $1 – $1 |
| 17 | Baylor Scott White Health Plan facility · fee schedule · inpatient · +2 other terms | 26 | $1 | $1 | $0 | 2% | — | $1 – $1 |
| 18 | Ambetter fee schedule · both · +13 other terms | 25 | $2 | $4 | $3 | 81% | — | $1 – $10 |
| 19 | Amerihealth Caritas facility · fee schedule · outpatient · +11 other terms | 25 | $1 | $1 | $0 | 18% | — | $1 – $1 |
| 20 | Excellus facility · fee schedule · both · +8 other terms | 25 | $1 | $1 | $1 | 67% | — | $1 – $4 |
| 21 | Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +3 other terms | 25 | $16 | $25 | $25 | 99% | — | $2 – $83 |
| 22 | Carefirst facility · fee schedule · both · +10 other terms | 24 | $1 | $1 | $1 | 62% | — | $1 – $4 |
| 23 | Premera facility · fee schedule · both · +8 other terms | 24 | $1 | $1 | $1 | 63% | — | $1 – $4 |
| 24 | Regence facility · fee schedule · both · +13 other terms | 24 | $1 | $1 | $1 | 59% | — | $1 – $4 |
| 25 | Wellmark facility · fee schedule · both · +12 other terms | 24 | $1 | $1 | $1 | 63% | — | $1 – $4 |
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