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  5. /Percent of billed charges

NDC 00093-7334-05

MYCOPHENOLATE MOFETIL 250 MG CAPSULE

Reported by 9 hospitals in the network under the percent of billed charges methodology.

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.

Reflects a negotiated percentage of total billed charges.

National pricing summary

Based on 16 billing samples across every hospital reporting.

Low

$17

Average

$17

Median

$17

High

$18

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Prisma Health Hillcrest HospitalSIMPSONVILLE, SC$19$17$816$0$28
2Prisma Health Greenville Memorial HospitalGREENVILLE, SC$19$17$8—$0$28
3Prisma Health Baptist Easley HospitalEASLEY, SC$19$17$8—$0$28
4Prisma Health Richland HospitalCOLUMBIA, SC$22$18$8—$0$28
5Prisma Health Baptist Parkridge HospitalCOLUMBIA, SC$22$18$8—$0$28
6Prisma Health Greer Memorial HospitalGREER, SC$19$17$8—$0$28
7Prisma Health Baptist Columbia HospitalCOLUMBIA, SC$22$18$8—$0$28
8Prisma Health Tuomey HospitalSUMTER, SC$19$17$8—$0$28
9Prisma Health Patewood HospitalGREENVILLE, SC$19$17$8—$0$28

Look up this code directly

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