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
$13
Median
$1
High
$215
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
72 hospitals; the 90th percentile is 159.9× 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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93 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $17 | $17 | $12 | 74% | — | $4 – $29 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 3 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $1 | $1 | 121% | — | $0 – $4 |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $1 | $1 | 121% | — | $0 – $3 |
| 6 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $2 | $2 | $0 | 9% | — | $2 – $2 |
| 7 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 2 | $282 | $282 | — | — | — | $282 – $282 |
| 12 | Fairview Hospital Great Barrington, MA professional · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $42 | $42 | $33 | 77% | — | $10 – $75 |
| 14 | Geisinger Bloomsburg Hospital Bloomsburg, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Geisinger Jersey Shore Hospital Jersey Shore, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Grossmont Hospital Corporation La Mesa, CA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 1 | $20 | $22 | $17 | 75% | — | $0 – $46 |
| 23 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $10 | $9 | 99% | — | $1 – $27 |
| 24 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 25 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS J7517 · Snapshot 20261111T120946Z-9134e7f7