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
SANDIMMUNE 250 MG/5 ML INTRAVENOUS SOLUTION
Smith, AR
See all hospitals reporting HCPCS J7516 →Price type
Mercy Hospital Fort Smith’s median price of $172 is 49% above the median hospital's median price ($115), higher than 78% of the 1,586 hospitals reporting HCPCS J7516. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 14 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medicaid hb ftsm ark medicaid facility · fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 2 | Caresource hb ftsm caresource medicaid facility · fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 3 | Medicaid hb ftsm mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 4 | Aetna hb ftsm ok managed medicaid facility · fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 5 | Humana hb ftsm ok managed medicaid facility · fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 6 | Medicaid hb ftsm ok medicaid facility · fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 7 | Anthem hb ftsm blue cross facility · fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 8 | Blue Cross Blue Shield hb ftsm bcbs exchange facility · fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 9 | Blue Cross Blue Shield hb ftsm blue cross facility · fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 10 | Cigna hb ftsm cigna facility · fee schedule · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 11 | Aetna hb ftsm coventry/aetna facility · fee schedule · outpatient | $240 | $240 | — | — | — | $240 – $240 |
| 12 | Humana hb ftsm humana facility · percent of total billed charges · outpatientfrom % of charges | $259 | $259 | — | — | — | $259 – $259 |
| 13 | First Health hb ftsm first health_ccn facility · fee schedule · outpatient | $274 | $274 | — | — | — | $274 – $274 |
| 14 | MultiPlan hb ftsm,wldar,ozkar,prsar multi plan facility · percent of total billed charges · outpatientfrom % of charges | $293 | $293 | — | — | — | $293 – $293 |
Last updated: Jun 8, 2026
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