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, for suspension, oral, 100 mg
Low
$11
Average
$324
Median
$24
High
$3.1k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 133.7× 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.
Filter by billing methodology
Filter by billing class
30 hospital rates
iThe hospitals that file a Ambetter 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 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $8 | 31% | — | $15 – $34 |
| 2 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $8 | 31% | — | $15 – $34 |
| 3 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $8 | 31% | — | $15 – $34 |
| 4 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $8 | 31% | — | $15 – $34 |
| 5 | Baylor Scott & White Medical Center - Grapevine Grapevine, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $8 | 31% | — | $15 – $34 |
| 6 | Baylor Scott & White Medical Center - Irving Irving, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $8 | 31% | — | $15 – $34 |
| 7 | Baylor Scott & White Medical Center - Lake Pointe Rowlett, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $8 | 31% | — | $15 – $34 |
| 8 | Baylor Scott & White Medical Center - McKinney McKinney, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $8 | 31% | — | $15 – $34 |
| 9 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $8 | 31% | — | $15 – $34 |
| 10 | Baylor Scott & White Medical Center at Waxahachie Waxahachie, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $8 | 31% | — | $15 – $34 |
| 11 | Baylor Scott & White The Heart Hospital - Denton Denton, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $8 | 31% | — | $15 – $34 |
| 12 | Baylor Scott & White The Heart Hospital - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $8 | 31% | — | $15 – $34 |
| 13 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $8 | 31% | — | $15 – $34 |
| 14 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 15 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 16 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 17 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · bothfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 18 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 19 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 20 | LECONTE MEDICAL CENTER Sevierville, TN fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 21 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 22 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 23 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 24 | Mercy Hospital Logan County Inc Guthrie, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 25 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
← Payers reporting HCPCS J7528 · Snapshot 20261112T181611Z-3fa9fb76