25094442_1 — Mycophenolate 200 Mg/ml Susp
Cite this view
HANK Price Transparency. (n.d.). MYCOPHENOLATE 200 MG/ML SUSP (CDM 25094442_1) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/25094442_1?code_type=CDM
“MYCOPHENOLATE 200 MG/ML SUSP (CDM 25094442_1) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/25094442_1?code_type=CDM. Accessed .
“MYCOPHENOLATE 200 MG/ML SUSP (CDM 25094442_1) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/25094442_1?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,433–$4,005 (25th–75th percentile) across 2 hospitals · 6 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 25094442_1 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| Madonna Rehabilitation Specialty Hospital Lincoln Outpatient | BRIGHTHEALTH-ALL PLANS | BRIGHTHEALTH-ALL PLANS | $1,587.23 | $5,290.77 | $5,290.77 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | BRIGHTHEALTH-ALL PLANS | BRIGHTHEALTH-ALL PLANS | $1,706.82 | $5,689.39 | $5,689.39 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Lincoln Outpatient | MIDLANDS CHOICE MEDICA ELEVATE | MIDLANDS CHOICE MEDICA ELEVATE | $3,174.46 | $5,290.77 | $5,290.77 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Lincoln Outpatient | BCBS OF NE SELECT BLUE | BCBS OF NE SELECT BLUE | $3,267.05 | $5,290.77 | $5,290.77 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | MIDLANDS CHOICE MEDICA ELEVATE | MIDLANDS CHOICE MEDICA ELEVATE | $3,413.63 | $5,689.39 | $5,689.39 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Lincoln Outpatient | BCBS OF NE NETWORK BLUE-ALL OTHER PLANS | BCBS OF NE NETWORK BLUE-ALL OTHER PLANS | $3,439.00 | $5,290.77 | $5,290.77 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Lincoln Outpatient | MIDLANDS CHOICE MEDICA INSURED | MIDLANDS CHOICE MEDICA INSURED | $3,439.00 | $5,290.77 | $5,290.77 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | BCBS OF NE SELECT BLUE-ALL OTHER PLANS | BCBS OF NE SELECT BLUE-ALL OTHER PLANS | $3,513.20 | $5,689.39 | $5,689.39 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | MIDLANDS CHOICE MEDICA INSURED | MIDLANDS CHOICE MEDICA INSURED | $3,698.10 | $5,689.39 | $5,689.39 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | BCBS OF NE NETWORK BLUE | BCBS OF NE NETWORK BLUE | $3,698.10 | $5,689.39 | $5,689.39 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Lincoln Outpatient | MIDLANDS CHOICE PREMIER | MIDLANDS CHOICE PREMIER | $3,703.54 | $5,290.77 | $5,290.77 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Lincoln Outpatient | FIRST CHOICE HLTH NTWRK-ALL PLANS | FIRST CHOICE HLTH NTWRK-ALL PLANS | $3,703.54 | $5,290.77 | $5,290.77 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Lincoln Outpatient | MIDLANDS CHOICE STANDARD -ALL OTHER PLANS | MIDLANDS CHOICE STANDARD -ALL OTHER PLANS | $3,968.08 | $5,290.77 | $5,290.77 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | FIRST CHOICE HLTH NTWRK-ALL PLANS | FIRST CHOICE HLTH NTWRK-ALL PLANS | $3,982.57 | $5,689.39 | $5,689.39 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | MIDLANDS CHOICE PREMIER | MIDLANDS CHOICE PREMIER | $3,982.57 | $5,689.39 | $5,689.39 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Lincoln Outpatient | AETNA/COVENTRY-ALL PLANS | AETNA/COVENTRY-ALL PLANS | $4,073.89 | $5,290.77 | $5,290.77 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | MIDLANDS CHOICE STANDARD-ALL OTHER PLANS | MIDLANDS CHOICE STANDARD-ALL OTHER PLANS | $4,267.04 | $5,689.39 | $5,689.39 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | AETNA/COVENTRY-ALL PLANS | AETNA/COVENTRY-ALL PLANS | $4,380.83 | $5,689.39 | $5,689.39 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Lincoln Outpatient | HUMANA (CHOICECARE NETWORK)-ALL PLANS | HUMANA (CHOICECARE NETWORK)-ALL PLANS | $4,497.15 | $5,290.77 | $5,290.77 | 2026-05-04 | MRF ↗ |
| Madonna Rehabilitation Specialty Hospital Omaha Outpatient | HUMANA (CHOICECARE NETWORK)-ALL PLANS | HUMANA (CHOICECARE NETWORK)-ALL PLANS | $4,835.98 | $5,689.39 | $5,689.39 | 2026-05-04 | MRF ↗ |