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.
Original text from hospital filings
SIROLIMUS LEVEL
Low
$0
Average
$1.3k
Median
$40
High
$2563.4k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
2011 hospitals; the 90th percentile is 12.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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3,328 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $153 | $155 | $4 | 3% | 74–83 | $153 – $163 |
| 2 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 4 | $18 | $86 | $120 | 140% | 54 | $14 – $294 |
| 3 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $112 | $77 | $49 | 64% | 54 | $7 – $112 |
| 4 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $173 | $172 | $16 | 9% | 50–59 | $153 – $194 |
| 5 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $75 | $75 | $14 | 19% | 48–57 | $60 – $89 |
| 6 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $75 | $75 | $14 | 19% | 48–57 | $60 – $89 |
| 7 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $14 | $14 | — | — | 33 | $14 – $14 |
| 8 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $30 | $30 | — | — | 33 | $30 – $30 |
| 9 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | 33 | $67 – $67 |
| 10 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | — | — | 28 | $98 – $98 |
| 11 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $38 | $68 | $61 | 91% | 22 | $12 – $185 |
| 12 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 1 | $27 | $27 | — | — | 16 | $27 – $27 |
| 13 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | 15 | $25 – $25 |
| 14 | ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND Sugar Land, TX fee schedule · outpatient | 3 | $21 | $107 | $126 | 118% | 14 | $14 – $286 |
| 15 | ST. LUKE'S COMMUNITY HEALTH SERVICES The Woodlands, TX fee schedule · outpatient | 3 | $21 | $107 | $126 | 118% | 12 | $14 – $286 |
| 16 | ST. LUKE'S COMMUNITY HEALTH SERVICES Spring, TX fee schedule · outpatient | 2 | $150 | $150 | $136 | 91% | 12 | $14 – $286 |
| 17 | Lancaster General Health Lancaster, PA facility · other · outpatient | 1 | $14 | $14 | — | — | 11 | $14 – $14 |
| 18 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 4 | $65 | $69 | $29 | 42% | 8–80 | $28 – $132 |
| 19 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 5 | $148 | $150 | $50 | 33% | 5–50 | $85 – $235 |
| 20 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $58 | $75 | $39 | 52% | 4–40 | $42 – $150 |
| 21 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $54 | $70 | $37 | 52% | 4–40 | $40 – $142 |
| 22 | West Virginia Health Care Cooperative Inc. Summersville, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $20 | $20 | $0 | 0% | 4–40 | $20 – $20 |
| 23 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $160 | $232 | $137 | 59% | 3–30 | $112 – $423 |
| 24 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | 2–20 | $67 – $67 |
| 25 | Mercy Medical Center-Clinton Inc Clinton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $262 | $262 | $127 | 49% | 2–20 | $135 – $389 |
← Payers reporting CPT 80195 · Snapshot 20261111T120946Z-9134e7f7