CareNavIQ

Every billing code / Treatments and drugs / Treatment - Miscellaneous

HCPCS J7502

Cyclosporine, oral, 100 mg

Current codeImmunosuppressive Drugs - Non-injectable37 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
EvergreenHealth Medical CenterKirkland—$30.40 – $918$38.00 – $1,148
Highline Medical CenterBurienFile dated 2026-02-28—$15.09 – $1,087$49.40 – $3,559
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$4.80 – $24.00$6.86 – $34.29
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$3.48$8.70
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$13.39 – $49.71$16.74 – $62.14
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$1.02 – $20.54$1.61 – $41.08
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$9.07 – $22.46$12.95 – $32.09
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$2.11 – $2.29$4.05 – $4.41
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$9.07 – $22.46$12.95 – $32.09
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$9.07 – $9.42$12.95 – $13.46
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$3.93$7.56
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$9.07 – $9.42$12.95 – $13.46
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$15.15 – $102$21.64 – $145
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$2.11 – $12.52$4.05 – $24.07
Seattle Children's HospitalSeattle$3.96 – $50412 plans$15.40 – $1,550$15.40 – $1,550
St Anthony HospitalGig HarborFile dated 2026-02-28—$15.03 – $1,083$49.40 – $3,559
St Clare HospitalLakewoodFile dated 2026-02-28—$14.24 – $1,026$49.40 – $3,559
St Elizabeth HospitalEnumclawFile dated 2026-02-28$13.84 – $1,1815 plans$17.46 – $1,258$49.40 – $3,559
St Francis Community HospitalFederal WayFile dated 2026-02-28—$15.51 – $1,117$49.40 – $3,559
St Joseph Medical CenterTacomaFile dated 2026-02-28—$16.37 – $1,179$49.40 – $3,559
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$21.81 – $1,571$49.40 – $3,559
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$9.00 – $43.88$18.75 – $91.41
Swedish IssaquahIssaquahFile dated 2026-04-01—$4.69 – $30.80$9.78 – $64.17
Swedish Medical CenterSeattleFile dated 2026-04-01—$7.87 – $30.80$16.40 – $64.17
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$9.00 – $28.25$18.75 – $58.86
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$8.46 – $9.19$21.15 – $22.96
Virginia Mason Medical CenterSeattle—$4.06 – $20.48$7.96 – $40.15

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.