NDC 68462-0682-01
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 0.5 MG PO TABS
Reported by 113 hospitals in the network under the fee schedule methodology.
Based on 1–10 billing samples across every hospital reporting.
Low
$1
Average
$14
Median
$2
High
$691
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. 113 hospitals; the 90th percentile is 14.8× 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 | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital | Arlington, WA | $691 | $691 | $201 | 1–10 | $3 | $892 |
| 2 | St Luke's Methodist Hospital | Cedar Rapids, IA | $1 | $1 | — | — | $1 | $5 |
| 3 | Sanford Fargo Medical Center | Fargo, ND | $1 | $1 | — | — | $1 | $11 |
| 4 | Dignity Community Care | San Luis Obispo, CA | $30 | $28 | $15 | — | $2 | $47 |
| 5 | Dignity Community Care | Redwood City, CA | $17 | $18 | $11 | — | $2 | $39 |
| 6 | Dignity Health | Las Vegas, NV | $6 | $7 | $4 | — | $2 | $16 |
| 7 | Dignity Community Care | Glendale, CA | $13 | $18 | $13 | — | $2 | $50 |
| 8 | Dignity Health | San Bernardino, CA | $10 | $12 | $8 | — | $2 | $27 |
| 9 | Dignity Health | Sacramento, CA | $12 | $15 | $10 | — | $1 | $34 |
| 10 | Dignity Health | Long Beach, CA | $13 | $18 | $14 | — | $2 | $48 |
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