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
$2.1k
Median
$4
High
$2550.7k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1309 hospitals; the 90th percentile is 1090.4× 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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1,823 hospital rates
iThe hospitals that file a Cigna 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 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $1 | $1 | $0 | 21% | 65–74 | $1 – $1 |
| 2 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | 62 | $0 – $0 |
| 3 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $5 | $5 | $0 | 4% | 31–40 | $4 – $5 |
| 4 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 3 | $4 | $4 | $1 | 18% | 30–39 | $3 – $6 |
| 5 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 4 | $0 | $1 | $1 | 137% | 21–210 | $0 – $6 |
| 6 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient | 1 | $7 | $7 | — | — | 4–40 | $7 – $7 |
| 7 | Northside Hospital, Inc. Duluth, GA other · outpatient | 5 | $16 | $18 | $9 | 49% | 4–40 | $4 – $30 |
| 8 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 4 | $7 | $7 | $1 | 8% | 3–30 | $6 – $8 |
| 9 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $3 | $2 | 48% | 3–30 | $2 – $6 |
| 10 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 4 | $0 | $7 | $12 | 170% | 2–20 | $0 – $31 |
| 11 | Northside Hospital, Inc. Lawrenceville, GA other · outpatient | 5 | $16 | $17 | $9 | 50% | 2–20 | $4 – $30 |
| 12 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 3 | $185 | $194 | $193 | 100% | 1–10 | $1 – $406 |
| 13 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $26 | $26 | $0 | 0% | — | $26 – $26 |
| 14 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | $10 | 74% | — | $3 – $23 |
| 15 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 16 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 17 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 20 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $15 | $11 | 76% | — | $3 – $35 |
| 21 | ALASKA REGIONAL HOSPITAL Anchorage, AK percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 22 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $71 | $827 | $1.1k | 129% | — | $71 – $2.3k |
| 25 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $71 | $642 | $861 | 134% | — | $42 – $2.3k |
← Payers reporting HCPCS J7517 · Snapshot 20261111T120946Z-9134e7f7