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HCPCS J7517

Mycophenolate mofetil, oral, 250 mg

Current codeImmunosuppressive Drugs - Non-injectable42 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1.12 – $1.832 plans—$1.14 – $2.15
Cascade Valley HospitalArlington$2.12 – $1857 plans$2.34 – $4.18$2.92 – $5.23
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1.08 – $3.282 plans$1.04 – $1.80$1.52 – $4.49
EvergreenHealth Medical CenterKirkland$9.28 – $85.566 plans$23.20 – $73.60$29.00 – $92.00
EvergreenHealth MonroeMonroe$9.45 – $13.9512 plans$12.00$15.00
Highline Medical CenterBurienFile dated 2026-02-28$20.97 – $1946 plans$14.89 – $65.81$48.75 – $216
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$3.87 – $24.25$5.53 – $34.64
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$2.32 – $2.846 plans$1.42$3.55
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1.16 – $3.723 plans$1.04 – $2.04$1.96 – $5.10
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1.02 – $1.573 plans—$1.39 – $2.15
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1.01 – $3.483 plans$1.10 – $1.91$1.71 – $4.77
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1.86 – $2.942 plans$1.04 – $1.64$2.58 – $4.08
Olympic Medical CenterPort AngelesFile dated 2026-06-24$4.69 – $11.886 plans$6.72 – $9.50$8.40 – $11.88
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$1.42 – $74.33$1.12 – $149
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$7.30 – $18.12$10.43 – $25.88
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$1.18$2.26
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$7.30 – $18.12$10.43 – $25.88
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$7.27 – $8.40$10.39 – $12.00
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$3.43 – $4.36$6.60 – $8.39
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$7.27 – $8.16$10.39 – $11.66
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$10.53 – $12.49$15.04 – $17.84
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$1.18 – $3.14$2.26 – $6.03
Seattle Children's HospitalSeattle$2.70 – $4.8098 plans$5.00$5.00
Skagit Valley HospitalMount Vernon$2.33 – $4.976 plans$2.34 – $4.18$2.92 – $5.23
St Anthony HospitalGig HarborFile dated 2026-02-28$26.82 – $1624 plans$14.83 – $65.55$48.75 – $216
St Clare HospitalLakewoodFile dated 2026-02-28$26.82 – $1624 plans$14.06 – $62.12$48.75 – $216
St Elizabeth HospitalEnumclawFile dated 2026-02-28$17.55 – $1949 plans$17.23 – $76.16$48.75 – $216
St Francis Community HospitalFederal WayFile dated 2026-02-28$26.82 – $1624 plans$15.30 – $67.63$48.75 – $216
St Joseph Medical CenterTacomaFile dated 2026-02-28$26.82 – $1624 plans$16.15 – $71.38$48.75 – $216
St Michael Medical CenterSilverdaleFile dated 2026-02-28$30.72 – $19410 plans$21.52 – $95.12$48.75 – $216
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$4.06 – $22.09$8.45 – $46.02
Swedish IssaquahIssaquahFile dated 2026-04-01—$4.06 – $22.09$8.45 – $46.02
Swedish Medical CenterSeattleFile dated 2026-04-01—$4.06 – $22.09$8.45 – $46.02
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$4.06 – $22.09$8.45 – $46.02
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1.01 – $3.293 plans$1.10 – $1.80$1.22 – $4.50
Virginia Mason Medical CenterSeattle$1.33 – $26.224 plans$1.06 – $16.72$2.08 – $32.78
Yakima Valley MemorialYakimaFile dated 2026-08-27$1.06 – $5.261 plan$1.10 – $3.76$1.71 – $9.40

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.