NDC 51079-0721-01
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 ORAL CAP [15113]
Low
$0
Average
$73
Median
$0
High
$7.7k
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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. 127 hospitals; the 90th percentile is 18.5× 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 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA | $6.5k | $7.7k | $5.9k | 76% | 19–37 | $1 – $15.4k |
| 2 | CHI St. Vincent Hospital Hot Springs Hot Springs, AR | $6 | $6 | $4 | 66% | 2–20 | $0 – $11 |
| 3 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA | $514 | $514 | $378 | 74% | 2–20 | $0 – $892 |
| 4 | Scotland Memorial Hospital Inc. Laurinburg, NC | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 5 | Northwest Iowa Hospital Corporation Sioux City, IA | $0 | $0 | — | — | — | $0 – $1 |
| 6 | St Luke's Methodist Hospital Cedar Rapids, IA | $0 | $0 | — | — | — | $0 – $1 |
| 7 | Trinity Medical Center Rock Island, IL | $0 | $0 | — | — | — | $0 – $1 |
| 8 | Trinity Medical Center Bettendorf, IA | $0 | $0 | — | — | — | $0 – $1 |
| 9 | Unity Healthcare Muscatine, IA | $0 | $0 | — | — | — | $0 – $1 |
| 10 | Trinity Regional Medical Center Fort Dodge, IA | $0 | $0 | — | — | — | $0 – $1 |
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