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Every billing code / Treatments and drugs / Treatment - Miscellaneous

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

Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

HospitalOther government program rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27——$1.14 – $2.15
Cascade Valley HospitalArlington—$2.34 – $4.18$2.92 – $5.23
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$1.04 – $1.80$1.52 – $4.49
EvergreenHealth Medical CenterKirkland—$23.20 – $73.60$29.00 – $92.00
EvergreenHealth MonroeMonroe—$12.00$15.00
Highline Medical CenterBurienFile dated 2026-02-28—$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—$1.42$3.55
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$1.04 – $2.04$1.96 – $5.10
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27——$1.39 – $2.15
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$1.10 – $1.91$1.71 – $4.77
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$1.04 – $1.64$2.58 – $4.08
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$6.72 – $9.50$8.40 – $11.88
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$1.42 – $74.33$1.12 – $149
PeaceHealth Peace Island Medical CenterFriday Harbor—$19.25 – $78.53$29.62 – $121
PeaceHealth Southwest Medical CenteVancouver—$19.25 – $78.53$29.62 – $121
PeaceHealth St John Medical CenterLongview—$19.25 – $78.53$29.62 – $121
PeaceHealth St Joseph Medical CenterBellingham—$19.25 – $78.53$29.62 – $121
PeaceHealth United General Medical CenterSedro Woolley—$19.25 – $78.53$29.62 – $121
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$2.051 plan$5.00$5.00
Skagit Valley HospitalMount Vernon—$2.34 – $4.18$2.92 – $5.23
St Anthony HospitalGig HarborFile dated 2026-02-28—$14.83 – $65.55$48.75 – $216
St Clare HospitalLakewoodFile dated 2026-02-28—$14.06 – $62.12$48.75 – $216
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$17.23 – $76.16$48.75 – $216
St Francis Community HospitalFederal WayFile dated 2026-02-28—$15.30 – $67.63$48.75 – $216
St Joseph Medical CenterTacomaFile dated 2026-02-28—$16.15 – $71.38$48.75 – $216
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$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—$1.10 – $1.80$1.22 – $4.50
Virginia Mason Medical CenterSeattle—$1.06 – $16.72$2.08 – $32.78
Yakima Valley MemorialYakimaFile dated 2026-08-27—$1.10 – $3.76$1.71 – $9.40

Lowest and highest amounts each hospital lists for this code as an outpatient, 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.