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
MYCOPHENOLATE MOFETIL 250 MG CAPSULE
Low
$0
Average
$1.5k
Median
$6
High
$1922.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1418 hospitals; the 90th percentile is 1070.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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2,104 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $6 | $5 | $1 | 9% | 88 | $5 – $6 |
| 2 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $3 | $3 | $2 | 68% | 31–202 | $1 – $4 |
| 3 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $3 | $3 | $2 | 68% | 31–202 | $1 – $4 |
| 4 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 4 | $5 | $5 | $1 | 21% | 26 | $4 – $7 |
| 5 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $17 | $26 | $19 | 76% | 19–190 | $3 – $48 |
| 6 | HCA FLORIDA AVENTURA HOSPITAL AVENTURA, FL percent of total billed charges · outpatientfrom % of charges | 4 | $28 | $56 | $63 | 113% | 2–20 | $4 – $163 |
| 7 | HCA FLORIDA WESTSIDE HOSPITAL PLANTATION, FL percent of total billed charges · outpatientfrom % of charges | 4 | $8 | $9 | $7 | 85% | 2–20 | $2 – $24 |
| 8 | HCA FLORIDA WOODMONT HOSPITAL TAMARAC, FL percent of total billed charges · outpatientfrom % of charges | 4 | $15 | $15 | $9 | 61% | 2–20 | $3 – $26 |
| 9 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 25 | $1 | $1 | $0 | 13% | 2–20 | $1 – $1 |
| 10 | ALASKA REGIONAL HOSPITAL Anchorage, AK percent of total billed charges · outpatientfrom % of charges | 1 | $110 | $110 | — | — | 1–10 | $110 – $110 |
| 11 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 12 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN fee schedule · both | 2 | $1 | $1 | $1 | 58% | 1–10 | $0 – $2 |
| 13 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 14 | HCA FLORIDA BAYONET POINT HOSPITAL HUDSON, FL percent of total billed charges · outpatientfrom % of charges | 3 | $19 | $201 | $409 | 204% | 1–10 | $1 – $1.3k |
| 15 | HCA FLORIDA GULF COAST HOSPITAL PANAMA CITY BEACH, FL percent of total billed charges · outpatientfrom % of charges | 3 | $1 | $3 | $5 | 154% | 1–10 | $0 – $16 |
| 16 | HCA FLORIDA JFK HOSPITAL ATLANTIS, FL percent of total billed charges · outpatientfrom % of charges | 3 | $23 | $29 | $28 | 97% | 1–10 | $5 – $91 |
| 17 | HCA FLORIDA NORTH FLORIDA HOSPITAL GAINESVILLE, FL percent of total billed charges · outpatientfrom % of charges | 3 | $3 | $6 | $5 | 85% | 1–10 | $0 – $13 |
| 18 | HCA FLORIDA NORTHWEST HOSPITAL MARGATE, FL percent of total billed charges · outpatientfrom % of charges | 3 | $5 | $11 | $10 | 92% | 1–10 | $0 – $28 |
| 19 | HCA FLORIDA ORANGE PARK HOSPITAL ORANGE PARK, FL percent of total billed charges · outpatientfrom % of charges | 2 | $8 | $10 | $5 | 53% | 1–10 | $5 – $18 |
| 20 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $7 | $7 | $1 | 8% | 1–10 | $6 – $7 |
| 21 | Methodist Hospitals of Dallas Dallas, TX fee schedule · both | 5 | $0 | $0 | $0 | 33% | 1–10 | $0 – $1 |
| 22 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $18 | $18 | — | — | 1–10 | $18 – $18 |
| 23 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $4 | $4 | — | — | 1–10 | $4 – $4 |
| 24 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · inpatient | 1 | $24 | $24 | $0 | 0% | — | $24 – $24 |
| 25 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $24 | $24 | $0 | 0% | — | $24 – $24 |
← Payers reporting HCPCS J7517 · Snapshot 20261111T120946Z-9134e7f7