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
TACROLIMUS XR 0.75 MG TABLET,EXTENDED RELEASE 24 HR
Low
$2
Average
$18
Median
$20
High
$32
Each hospital's average Premera rate, under the methodology and billing class chosen below.
8 hospitals; the 90th percentile is 6.1× 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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8 hospital rates
iThe hospitals that file a Premera 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 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 2 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 3 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $17 | $32 | $25 | 77% | — | $12 – $66 |
| 4 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 5 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 5 | $16 | $26 | $18 | 70% | — | $10 – $63 |
| 6 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $15 | $15 | $2 | 14% | — | $12 – $17 |
| 7 | The Mercy Hospital Inc Springfield, MA facility · fee schedule · both | 1 | $7 | $7 | $1 | 14% | — | $6 – $7 |
| 8 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | $0 | 1% | — | $2 – $2 |
← Payers reporting HCPCS J7503 · Snapshot 20261111T120946Z-9134e7f7