Sirolimus- oral

Reported by 94 hospitals in the network under the fee schedule methodology.

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Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

Average

$27

Median

High

$711

#	Hospital	Location
1	Virginia Mason Medical Center	Seattle, WA	$13	$13	—	—	$13	$13
2	IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center	Murray, UT	$3	$3	$1	—	$2	$3
3	IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital	Provo, UT	$3	$3	$1	—	$2	$3
4	IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital	Ogden, UT	$3	$3	$1	—	$2	$3
5	IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital	St. George, UT	$3	$3	$0	—	$2	$3
6	IHC Health Services Inc., DBA Intermountain Health LDS Hospital	Salt Lake City, UT	$3	$3	$1	—	$2	$3
7	Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare	Billings, MT	$20	$18	$5	—	$4	$20
8	Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital	DENVER, CO	$4	$3	$2	—	$1	$5
9	IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital	Logan, UT	$3	$3	$0	—	$2	$3
10	St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional Hospital	JUNCTION, CO	$3	$3	$1	—	$3	$4

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