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
$78
Median
$4
High
$1.4k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 63.5× 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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23 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 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 5 | $33 | $65 | $59 | 91% | 1–10 | $8 – $204 |
| 2 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 3 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $1 | $1 | $0 | 35% | — | $1 – $2 |
| 5 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 3 | $54 | $52 | $2 | 4% | — | $49 – $54 |
| 7 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 8 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 10 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | $0 | 5% | — | $3 – $4 |
| 11 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 13 | Mount Sinai Rehabilitation Hospital, Inc Hartford, CT facility · fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 14 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 16 | Samaritan Hospital Troy, NY facility · fee schedule · both | 1 | $11 | $14 | $5 | 35% | — | $11 – $22 |
| 17 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 18 | St Mary Medical Center Langhorne, PA facility · fee schedule · both | 1 | $2 | $2 | $1 | 34% | — | $1 – $2 |
| 19 | St Peters Hospital Albany, NY facility · fee schedule · both | 1 | $16 | $16 | $5 | 33% | — | $11 – $22 |
| 20 | St. Francis Hospital Inc Wilmington, DE facility · fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 21 | Sunnyview Rehab Hospital Schenectady, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $5 | $5 | $1 | 27% | — | $3 – $6 |
| 22 | The Mercy Hospital Inc Springfield, MA facility · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $37 | $17 | 45% | — | $14 – $50 |
← Payers reporting HCPCS J7520 · Snapshot 20261111T120946Z-9134e7f7