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NDC 60505619702

SIROLIMUS 1 MG/ML PO SOLN

Reported by 35 hospitals in the network under the fee schedule methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$1

Average

$16

Median

$20

High

$25

Hospitals reporting this code

#HospitalLocation
1Central Iowa Hospital CorporationDes Moines, IA$1$1$1$8—
2Central Iowa Hospital CorporationDes Moines, IA$1$1$1$8—
3Sanford Fargo Medical CenterFargo, ND$1$1$1$29—
4Sanford USD Medical CenterSioux Falls, SD$1$1$1$33—
5The Medical Center of Central Georgia IncMacon, GA$2$3$3$2.0k$1
6Central Georgia Rehabilitation LLCMacon, GA$2$3$3$2.0k$1
7The Medical Center of Peach County IncByron, GA$6$6$6$2.0k—
8Navicent Health Baldwin IncMilledgeville, GA$2$3$3$1.8k$1
9Baylor Scott & White Medical Center - TempleTemple, TX$1$26$21$63$10
10Baylor Scott & White Medical Center - BrenhamBrenham, TX$1$26$21$63$10
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