NDC 00004-0259-01
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.
Generation details were not recorded for this description.
Original text from hospital filings
MYCOPHENOLATE MOFETIL 250 MG PO CAPS
Based on 71–134 billing samples across every hospital reporting.
Low
$0
Average
$207
Median
$18
High
$3.2k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 207 hospitals; the 90th percentile is 95.2× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Nemours Children's Hospital Wilmington, DE | $11 | $11 | $5 | 40% | 65–74 | $0 – $20 |
| 2 | Adventist Health Medical Center Tehachapi Tehachapi, CA | $12 | $15 | $12 | 79% | 2–20 | $0 – $54 |
| 3 | Dignity Health Phoenix, AZ | $18 | $15 | $13 | 90% | 2–20 | $0 – $33 |
| 4 | Dignity Health Gilbert, AZ | $1 | $17 | $25 | 150% | 1–10 | $0 – $71 |
| 5 | Scotland Memorial Hospital Inc. Laurinburg, NC | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 6 | Meriter Hospital, Inc Madison, WI | $3 | $4 | $2 | 44% | — | $2 – $8 |
| 7 | Northwestern Memorial Hospital Chicago, IL | $53 | $84 | $68 | 82% | — | $10 – $209 |
| 8 | Northwestern Medicine Delnor Hospital Geneva, IL | $136 | $123 | $56 | 45% | — | $31 – $209 |
| 9 | Castle Medical Center Kailua, HI | $3 | $2 | $2 | 70% | — | $0 – $6 |
| 10 | Ukiah Adventist Hospital Ukiah, CA | $14 | $11 | $6 | 58% | — | $0 – $18 |
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