NDC 68084-0956-25
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.
Generation details were not recorded for this description.
Original text from hospital filings
SIROLIMUS 0.5MG TAB
Low
$0
Average
$23
Median
$20
High
$172
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 60 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Dignity Health Sacramento, CA | $12 | $18 | $13 | 75% | — | $1 – $42 |
| 2 | Dignity Health Carmichael, CA | $12 | $17 | $13 | 77% | — | $1 – $42 |
| 3 | Dignity Health Redding, CA | $38 | $31 | $16 | 52% | — | $2 – $46 |
| 4 | Memorial Medical Center San Augustine San Augustine, TX | $180 | $169 | $133 | 79% | — | $2 – $599 |
| 5 | Memorial Health System Of East Texas Lufkin, TX | $160 | $167 | $133 | 79% | — | $2 – $599 |
| 6 | Memorial Hospital Of Polk County Livingston, TX | $170 | $172 | $132 | 77% | — | $2 – $599 |
| 7 | Henry Ford Health System Detroit, MI | $2 | $2 | $1 | 46% | — | $1 – $3 |
| 8 | Henry Ford Health System West Bloomfield, MI | $2 | $2 | $1 | 43% | — | $1 – $3 |
| 9 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI | $2 | $2 | $1 | 43% | — | $1 – $3 |
| 10 | Henry Ford Wyandotte Hospital Wyandotte, MI | $2 | $2 | $2 | 76% | — | $1 – $7 |
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