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 200 MG/ML ORAL POWDER FOR SUSPENSION
Goldsboro, NC
See all hospitals reporting HCPCS J7517 →Price type
Wayne Memorial Hospital’s median price of $35 is 1657% above the median hospital's median price ($2), higher than 91% of the 2,031 hospitals reporting HCPCS J7517. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 15 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 | Cigna commercial facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | UnitedHealthcare commercial facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | UnitedHealthcare individual exchange facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $535 | $535 | $524 | 98% | — | $11 – $1.1k |
| 5 | UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $535 | $535 | $524 | 98% | — | $11 – $1.1k |
| 6 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $535 | $535 | $524 | 98% | — | $11 – $1.1k |
| 7 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $629 | $629 | $617 | 98% | — | $13 – $1.2k |
| 8 | Blue Cross Blue Shield blue select/blue value/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | $1.0k | 98% | — | $21 – $2.0k |
| 9 | Aetna north carolina preferred facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $1.5k | 98% | — | $31 – $3.1k |
| 10 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.6k | $1.6k | 98% | — | $33 – $3.2k |
| 11 | UnitedHealthcare individual exchange facility · percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.6k | $1.6k | 98% | — | $33 – $3.2k |
| 12 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | $1.7k | 98% | — | $34 – $3.3k |
| 13 | Medcost commercial/ultra facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | $1.7k | 98% | — | $36 – $3.5k |
| 14 | Medcost commercial/ultra facility · percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | $1.7k | 98% | — | $36 – $3.5k |
| 15 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | $1.8k | 98% | — | $38 – $3.7k |
Last updated: Jun 18, 2026
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