Sirolimus drug level blood test

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

SIROLIMUS LEVEL

Payers reporting CPT 80195

Payer pricing summary

Low

Average

$293

Median

$55

High

$5.7k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +35 other terms	855	$14	$19	$40	211%	208–298	$1 – $2.0k
2	Aetna fee schedule · outpatient · +33 other terms	772	$18	$56	$329	584%	94–112	$0 – $8.4k
3	Molina fee schedule · outpatient · +29 other terms	308	$15	$17	$11	66%	59	$1 – $215
4	Caresource fee schedule · outpatient · +15 other terms	111	$16	$19	$15	77%	55–73	$1 – $90
5	Humana fee schedule · outpatient · +27 other terms	567	$14	$36	$72	201%	28–46	$1 – $2.0k
6	Superior Healthplan fee schedule · outpatient · +6 other terms	64	$14	$67	$64	95%	24–51	$12 – $236
7	Cigna Healthspring fee schedule · outpatient · +8 other terms	149	$14	$14	$1	10%	17–26	$8 – $23
8	Blue Cross Blue Shield fee schedule · outpatient · +32 other terms	576	$21	$35	$35	100%	16–61	$1 – $310
9	Optum fee schedule · outpatient · +20 other terms	73	$14	$50	$81	164%	12	$10 – $347
10	Anthem fee schedule · outpatient · +25 other terms	233	$19	$27	$28	104%	6–60	$2 – $317
11	Cigna fee schedule · outpatient · +26 other terms	536	$28	$113	$2.6k	2284%	1–10	$5 – $82.8k
12	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$32	$32	—	—	1–10	$32 – $32
13	WellCare fee schedule · outpatient · +19 other terms	320	$14	$16	$6	41%	—	$8 – $95
14	Devoted fee schedule · outpatient · +15 other terms	185	$14	$14	$0	2%	—	$13 – $15
15	Oscar fee schedule · outpatient · +17 other terms	167	$27	$29	$10	34%	—	$11 – $42
16	Kaiser fee schedule · outpatient · +19 other terms	127	$14	$18	$21	114%	—	$4 – $242
17	Ambetter fee schedule · outpatient · +18 other terms	125	$22	$20	$7	36%	—	$6 – $51
18	Aetna Better Health fee schedule · outpatient · +18 other terms	118	$12	$14	$6	47%	—	$7 – $52
19	MultiPlan fee schedule · outpatient · +20 other terms	118	$62	$107	$113	105%	—	$14 – $408
20	Tricare facility · fee schedule · outpatient · +14 other terms	100	$13	$15	$16	103%	—	$0 – $150
21	First Health fee schedule · outpatient · +17 other terms	73	$23	$38	$64	167%	—	$12 – $273
22	Highmark facility · fee schedule · outpatient · +16 other terms	70	$23	$37	$37	100%	—	$9 – $182
23	Medicaid facility · fee schedule · outpatient · +15 other terms	62	$14	$14	$3	23%	—	$7 – $32
24	Amerihealth Caritas fee schedule · outpatient · +11 other terms	59	$14	$15	$4	29%	—	$2 – $26
25	Medicare facility · fee schedule · outpatient · +13 other terms	58	$13	$18	$23	129%	—	$4 – $144

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