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 1 MG/ML LIQUID
Low
$1
Average
$18
Median
$2
High
$357
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 19.5× 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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30 hospital rates
iThe hospitals that file a Excellus 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 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $13 | $19 | $10 | 52% | — | $11 – $34 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $1 | $1 | $0 | 35% | — | $1 – $2 |
| 3 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $19 | $19 | $11 | 57% | — | $8 – $29 |
| 5 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 3 | $1 | $1 | $1 | 45% | — | $1 – $2 |
| 6 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 9 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | $0 | 5% | — | $3 – $4 |
| 10 | MVHS, Inc. Utica, NY fee schedule · both | 2 | $1 | $14 | $28 | 203% | — | $1 – $76 |
| 11 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $63 | $1.2k | $2.6k | 212% | — | $31 – $7.0k |
| 12 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 14 | Mount Sinai Rehabilitation Hospital, Inc Hartford, CT facility · fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 15 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 2 | $2 | $2 | $1 | 37% | — | $1 – $2 |
| 17 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $2 | $2 | $1 | 48% | — | $1 – $3 |
| 18 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 19 | Samaritan Hospital Troy, NY facility · fee schedule · both | 3 | $2 | $6 | $7 | 121% | — | $1 – $22 |
| 20 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 21 | St Josephs Hospital Health Center Syracuse, NY facility · fee schedule · both | 3 | $2 | $2 | — | — | — | $2 – $2 |
| 22 | St Mary Medical Center Langhorne, PA facility · fee schedule · both | 1 | $2 | $2 | $1 | 34% | — | $1 – $2 |
| 23 | St Peters Hospital Albany, NY facility · fee schedule · both | 4 | $2 | $5 | $7 | 135% | — | $1 – $22 |
| 24 | St. Francis Hospital Inc Wilmington, DE facility · fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 25 | Sunnyview Rehab Hospital Schenectady, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $5 | $5 | $1 | 27% | — | $3 – $6 |
← Payers reporting HCPCS J7520 · Snapshot 20261111T120946Z-9134e7f7