NDC 16729-0094-01
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.
Original text from hospital filings
MYCOPHENOLATE MOFETIL 250 MG CAPSULE
Based on 151–304 billing samples across every hospital reporting.
Low
$0
Average
$52
Median
$3
High
$3.9k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 381 hospitals; the 90th percentile is 160.8× 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 | Boston Children's Hospital Boston, MA | $78 | $75 | $17 | 22% | 110 | $0 – $99 |
| 2 | Mayo Clinic Health System Waseca 56093-2811 | $5 | $5 | $1 | 15% | 24 | $0 – $5 |
| 3 | Chi St. Luke's Health Baylor College Of Medicine Medical Center Houston, TX | $0 | $0 | $0 | 48% | 12–120 | $0 – $1 |
| 4 | Holy Cross Hospital-Silver Spring Silver Spring, MD | $1 | $1 | $0 | 3% | 3–30 | $1 – $1 |
| 5 | Sanford Fargo Medical Center Fargo, ND | $1 | $1 | $0 | 31% | 1–10 | $0 – $1 |
| 6 | Alegent Health Bergan Mercy Health System Council Bluffs, IA | $0 | $20 | $24 | 122% | 1–10 | $0 – $62 |
| 7 | Northwest Iowa Hospital Corporation Sioux City, IA | $0 | $0 | $0 | 37% | — | $0 – $0 |
| 8 | St Luke's Methodist Hospital Cedar Rapids, IA | $0 | $0 | $0 | 51% | — | $0 – $1 |
| 9 | Trinity Regional Medical Center Fort Dodge, IA | $0 | $0 | $0 | 38% | — | $0 – $0 |
| 10 | Central Iowa Hospital Corporation Des Moines, IA | $0 | $0 | $0 | 33% | — | $0 – $0 |
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