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
Cyclosporine 250 MG/5 ML Ampul
Sioux Falls, SD
See all hospitals reporting HCPCS J7516 →Price type
Avera Specialty Hospital’s median price of $75 is 35% below the median hospital's median price ($115), higher than 29% of the 1,586 hospitals reporting HCPCS J7516. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 6 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Wellmark hmo fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 2 | Wellmark ppo fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 3 | UnitedHealthcare com fee schedule · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 4 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $194 | $194 | — | — | — | $194 – $194 |
| 5 | Medica com fee schedule · outpatient | $315 | $315 | — | — | — | $315 – $315 |
| 6 | Medica ind fee schedule · outpatient | $315 | $315 | — | — | — | $315 – $315 |
Last updated: Apr 1, 2026
See Cyclosporine injection, 250 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.