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 250MG CAP
Low
$0
Average
$14
Median
$1
High
$396
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 161 hospitals; the 90th percentile is 69.2× 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 | Dignity Health Phoenix, AZ | $18 | $15 | $13 | 90% | 2–20 | $0 – $33 |
| 2 | Dignity Health Gilbert, AZ | $1 | $17 | $25 | 150% | 1–10 | $0 – $71 |
| 3 | Scotland Memorial Hospital Inc. Laurinburg, NC | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 4 | Castle Medical Center Kailua, HI | $0 | $2 | $2 | 113% | — | $0 – $6 |
| 5 | Ukiah Adventist Hospital Ukiah, CA | $2 | $6 | $7 | 129% | — | $0 – $18 |
| 6 | Adventist Health Medical Center Tehachapi Tehachapi, CA | $24 | $23 | $15 | 65% | — | $0 – $54 |
| 7 | Sonora Community Hospital Sonora, CA | $8 | $6 | $4 | 72% | — | $0 – $12 |
| 8 | Glendale Adventist Medical Center Glendale, CA | $10 | $8 | $7 | 81% | — | $1 – $22 |
| 9 | Adventist Health Delano Delano, CA | $4 | $5 | $1 | 13% | — | $1 – $6 |
| 10 | Simi Valley Hospital And Health Care Services Valley, CA | $1 | $2 | $2 | 115% | — | $0 – $7 |
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