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NDC 00004026129

MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR

Reported by 53 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$3

Average

$1.1k

Median

$30

High

$6.1k

Hospitals reporting this code

#HospitalLocation
1Meriter Hospital, IncMadison, WI$3$6$7$15$3
2Gundersen Luthern Medical Center IncLa Crosse, WI$38$91$80$115$23
3UPMC LititzLititz, PA$0$4$3$8$2
4UPMC MemorialYork, PA$0$3$3$8$2
5UPMC HanoverHanover, PA$0$5$4$8$3
6UPMC CarlisleCarlisle, PA$0$3$3$8$2
7UPMC Pinnacle HospitalsHarrisburg, PA$0$3$3$8$3
8UPMC SomersetSomerset, PA$0$3$3$6$2
9IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$99$6.0k$5.4k$7.5k$1.6k
10Carolinas Medical CenterCharlotte, NC$911$2.1k$2.2k$3.8k$913
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