HospitalPricer

28842

CPTSurgery

Cyclosporine modified 25 mg capsule

As billed by one hospital: “Cyclosporine Modified Cap 25 MG

Verified from hospital fileNot a bill estimate
iDirect answer

Based on the latest published hospital price files, code 28842 (Cyclosporine modified 25 mg capsule) appears at 9 hospitals across 9 cities in 3 states with disclosed cash prices from $2.50 to $97.36. This is public hospital price transparency data, not a guaranteed estimate of your bill.

New to this? Read How to compare hospital prices by CPT code.

What this is

This is a surgical or procedural code. The published price typically covers the facility/procedure charge for performing it — the operating-room, equipment, and staff resources.

What affects the price

A surgical price almost never includes the separate bills you may receive from the surgeon, anesthesiologist, or pathologist. Ask the hospital for a bundled good-faith estimate that lists every expected charge, not just this one.

Category: Surgery

What the published prices show

$2.50
Lowest
$6.46
Median
$2.50–$21.45
Typical range
$97.36
Highest

Across the 10 hospitals that disclose a cash price for code 28842, the median is $6.46, and half of the disclosed prices fall between $2.50 and $21.45 — about a 9× difference for the same billing code. The full disclosed range runs from $2.50 to $97.36.

Published-price availability

9
hospitals publish a price
0
list this service without a published price
10
Cash
10
List
2
Negotiated
0
Allowed

Compare 28842 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Published cash prices for code 28842 vary by about 39× across the 9 hospitals with disclosed prices here — from $2.50 to $97.36. Shopping around can matter.

9
Hospitals
10
Prices shown
$2.50
Lowest cash
$97.36
Highest cash

Cash price by city

Reflects your current filters.

Cash price by city$2.50$6.46
  • Bridgeton · 1 hospital$2.50
  • Jefferson City · 1 hospital$2.50
  • Lake Saint Louis · 1 hospital$2.50
  • Fenton · 1 hospital$2.50
  • Saint Charles · 1 hospital$6.46
  • Wentzville · 1 hospital$6.46

10 prices shown.

ServiceHospitalCodeList priceCash priceNegotiated rangeAllowed (median)
Cyclosporine Modified Cap 25 MG
Inpatient & outpatient
SSM Health St. Joseph Hospital - St. Charles28842
CDM
$11.75$6.46
Cyclosporine Modified Cap 25 MG
Inpatient & outpatient
SSM Health DePaul Hospital - St. Louis28842
CDM
$4.54$2.50
Cyclosporine Modified Cap 25 MG
Inpatient & outpatient
SSM Health St. Mary's Hospital - Jefferson City28842
CDM
$4.54$2.50
Cyclosporine modified 25 mg capsule
Inpatient
Bronson Lakeview Hospital28842
CDM
$122$97.36$79.11 – $110
Cyclosporine modified 25 mg capsule
Outpatient
Bronson Lakeview Hospital28842
CDM
$122$97.36$28.90 – $110
Cyclosporine Modified Cap 25 MG
Inpatient & outpatient
SSM Health Saint Louis University Hospital28842
CDM
$25.45$14.00
Cyclosporine Modified Cap 25 MG
Inpatient & outpatient
SSM Health St. Joseph Hospital- Wentzville28842
CDM
$11.75$6.46
Cyclosporine Modified Cap 25 MG
Inpatient & outpatient
SSM Health St. Joseph Hospital - Lake Saint Louis28842
CDM
$4.54$2.50
Cyclosporine Modified Cap 25 MG
Inpatient & outpatient
SSM Health St. Clare Hospital - Fenton28842
CDM
$4.54$2.50
Cyclosporine Modified Cap 25 MG
Inpatient & outpatient
SSM Health St. Anthony Hospital - Oklahoma City28842
CDM
$43.51$23.93

How to read these prices

Cash price
The discounted self-pay price for paying directly, without insurance.
List price
The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate
A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount
A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 28842 prices

Open a hospital to see this code in the context of its full published prices.

Code 28842: frequently asked

What does code 28842 cost?
Across the published hospital price files, the disclosed cash price for 28842 ranges from $2.50 to $97.36. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?
Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 28842?
28842 is the billing code hospitals use to identify "Cyclosporine modified 25 mg capsule" on their published price files. We use it to line up the same service across different hospitals.
Why do 28842 prices differ between hospitals?
9 hospitals across 3 states publish a price for 28842 here, and even setting aside the outliers, most disclosed cash prices span roughly a 9× difference. Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not
It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

Related

Hospitals publishing code 28842 by state