NDC 64380-0725-06
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 500 MG ORAL TAB [21374]
Low
$0
Average
$67
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. 139 hospitals; the 90th percentile is 138.6× 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 | $0 – $15.4k |
| 2 | Saint Joseph Health System, Inc London, KY | $13 | $22 | $20 | 93% | 13 | $2 – $58 |
| 3 | Saint Luke’s South Hospital, Inc Overland Park, KS | $1 | $1 | $0 | 30% | 2–20 | $0 – $19 |
| 4 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA | $446 | $446 | $446 | 100% | 2–20 | $0 – $892 |
| 5 | Alegent Health Bergan Mercy Health System Council Bluffs, IA | $0 | $31 | $38 | 122% | 1–10 | $0 – $97 |
| 6 | Saint Joseph Health System, Inc Mt. Sterling, KY | $23 | $27 | $17 | 65% | 1–10 | $2 – $58 |
| 7 | Scotland Memorial Hospital Inc. Laurinburg, NC | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 8 | Dukes Health System LLC Peru, IN | $4 | $5 | $2 | 40% | — | $3 – $18 |
| 9 | Saint Elizabeth’s Hospital of Wabasha Inc Wabasha, MN | $0 | $0 | $0 | 56% | — | $0 – $0 |
| 10 | Sanford USD Medical Center Sioux Falls, SD | $1 | $1 | — | — | — | $0 – $1 |
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