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NDC 67457038681

Mycophenolate Mofetil HCl For IV Soln 500 MG (Base Equiv)

Reported by 60 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

$17

Average

$136

Median

$158

High

$518

Hospitals reporting this code

#HospitalLocation
1Sanford Medical Center BismarckBismarck, ND$24$56$54$68$15
2UPMC St MargaretPittsburgh, PA$19$34$38$86$17
3UPMC LititzLititz, PA$0$32$29$61$18
4UPMC MercyPittsburgh, PA$19$35$40$69$15
5UPMC MemorialYork, PA$0$27$25$61$21
6UPMC HanoverHanover, PA$0$42$34$63$23
7UPMC CarlisleCarlisle, PA$0$30$29$61$18
8UPMC Pinnacle HospitalsHarrisburg, PA$0$18$25$61$24
9UPMC NorthwestSeneca, PA$19$48$157$3.7k$627
10UPMC SomersetSomerset, PA$0$28$25$54$20
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