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, ORAL, 250 MG
Low
$1
Average
$38
Median
$10
High
$280
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Castle Medical Center Kailua, HI | $6 | $6 | — | — | — | $0 – $6 |
| 2 | Glendale Adventist Medical Center Glendale, CA | $10 | $10 | $3 | 35% | — | $1 – $22 |
| 3 | Sierra Vista Hospital Inc Obispo, CA | $280 | $280 | — | — | — | $73 – $280 |
| 4 | White Memorial Medical Center Angeles, CA | $39 | $39 | $10 | 26% | — | $0 – $113 |
| 5 | Ochsner Clinic Foundation Orleans, LA | $15 | $18 | $12 | 63% | — | $0 – $44 |
| 6 | East Baton Rouge Medical Center, Llc Baton Rouge, LA | $12 | $13 | $7 | 54% | — | $0 – $28 |
| 7 | Allina Health Systems Buffalo, MN | $0 | $1 | $2 | 153% | — | $0 – $6 |
| 8 | Allina Health Systems Faribualt, MN | $0 | $1 | $2 | 153% | — | $0 – $6 |
| 9 | Allina Health Systems River Falls, WI | $2 | $2 | $1 | 77% | — | $0 – $6 |
| 10 | Guthrie Cortland Medical Center Cortland, NY | $11 | $11 | — | — | — | $2 – $25 |
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