HCPCS J7502
Cyclosporine, oral, 100 mg
Current codeImmunosuppressive Drugs - Non-injectable37 hospitals with prices
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| EvergreenHealth Medical Center | — | $30.40 – $918 | $38.00 – $1,148 |
| Highline Medical Center | — | $15.09 – $1,087 | $49.40 – $3,559 |
| Kadlec Regional Medical Center | — | $4.80 – $24.00 | $6.86 – $34.29 |
| MultiCare Good Samaritan Hospital | — | $3.48 | $8.70 |
| Olympic Medical Center | — | $13.39 – $49.71 | $16.74 – $62.14 |
| Overlake Hospital Medical Center & Clinics | — | $1.02 – $20.54 | $1.61 – $41.08 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $9.07 – $22.46 | $12.95 – $32.09 |
| Providence Centralia Hospital | — | $2.11 – $2.29 | $4.05 – $4.41 |
| Providence Holy Family Hospital | — | $9.07 – $22.46 | $12.95 – $32.09 |
| Providence Mount Carmel Hospital | — | $9.07 – $9.42 | $12.95 – $13.46 |
| Providence Regional Medical Center Everett | — | $3.93 | $7.56 |
| Providence St Joseph Hospital | — | $9.07 – $9.42 | $12.95 – $13.46 |
| Providence St Mary Medical Center | — | $15.15 – $102 | $21.64 – $145 |
| Providence St Peter Hospital | — | $2.11 – $12.52 | $4.05 – $24.07 |
| Seattle Children's Hospital | $3.88 – $391 | $15.40 – $1,550 | $15.40 – $1,550 |
| St Anthony Hospital | — | $15.03 – $1,083 | $49.40 – $3,559 |
| St Clare Hospital | — | $14.24 – $1,026 | $49.40 – $3,559 |
| St Elizabeth Hospital | — | $17.46 – $1,258 | $49.40 – $3,559 |
| St Francis Community Hospital | — | $15.51 – $1,117 | $49.40 – $3,559 |
| St Joseph Medical Center | — | $16.37 – $1,179 | $49.40 – $3,559 |
| St Michael Medical Center | — | $21.81 – $1,571 | $49.40 – $3,559 |
| Swedish Edmonds Hospital | — | $9.00 – $43.88 | $18.75 – $91.41 |
| Swedish Issaquah | — | $4.69 – $30.80 | $9.78 – $64.17 |
| Swedish Medical Center | — | $7.87 – $30.80 | $16.40 – $64.17 |
| Swedish Medical Center / Cherry Hill | — | $9.00 – $28.25 | $18.75 – $58.86 |
| Tacoma General Allenmore Hospital | — | $8.46 – $9.19 | $21.15 – $22.96 |
| Virginia Mason Medical Center | — | $4.06 – $20.48 | $7.96 – $40.15 |
Medicare (traditional) reference
CMS publishes no national amount for this code.