Sirolimus protein-bound particle injection at Overlook Medical Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION

Summit, NJ

See all hospitals reporting HCPCS J9331 →

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Pricing by billing methodology

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How this price compares nationally

Overlook Medical Center’s median price of $11.9k is 9613% above the median hospital's median price ($123), higher than 95% of the 1,259 hospitals reporting HCPCS J9331. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J9331 at Overlook Medical Center

Negotiated rates from the hospital’s own file: 18 payers, 59 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	Aetna omc aetna ahs employee other · both	$85	$85	—	—	—	$85 – $85
2	Aetna omc aetna ahs employee other · outpatient	$85	$85	—	—	—	$85 – $85
3	Aetna omc aetna medicare fee schedule · both	$85	$85	—	—	—	$85 – $85
4	Aetna omc aetna medicare fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
5	Aetna omc aetna nnj prime other · both	$85	$85	—	—	—	$85 – $85
6	Aetna omc aetna nnj prime other · outpatient	$85	$85	—	—	—	$85 – $85
7	Ambetter omc ambetter wellcare of nj other · both	$85	$85	—	—	—	$85 – $85
8	Ambetter omc ambetter wellcare of nj other · outpatient	$85	$85	—	—	—	$85 – $85
9	Anthem omc horizon braven other · both	$85	$85	—	—	—	$85 – $85
10	Anthem omc horizon braven other · outpatient	$85	$85	—	—	—	$85 – $85
11	Blue Cross Blue Shield omc horizon braven other · both	$85	$85	—	—	—	$85 – $85
12	Blue Cross Blue Shield omc horizon braven other · outpatient	$85	$85	—	—	—	$85 – $85
13	Cigna omc cigna medicare fee schedule · both	$85	$85	—	—	—	$85 – $85
14	Cigna omc cigna medicare fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
15	Highmark omc highmark wholecare / gateway health plan inc other · both	$85	$85	—	—	—	$85 – $85
16	Highmark omc highmark wholecare / gateway health plan inc other · outpatient	$85	$85	—	—	—	$85 – $85
17	Highmark omc horizon braven other · both	$85	$85	—	—	—	$85 – $85
18	Highmark omc horizon braven other · outpatient	$85	$85	—	—	—	$85 – $85
19	Tricare omc tricare contract other · both	$85	$85	—	—	—	$85 – $85
20	Tricare omc tricare contract other · outpatient	$85	$85	—	—	—	$85 – $85
21	Tricare omc tricare-east (humana military) other · both	$85	$85	—	—	—	$85 – $85
22	Tricare omc tricare-east (humana military) other · outpatient	$85	$85	—	—	—	$85 – $85
23	WellCare omc wellcare phw other · both	$85	$85	—	—	—	$85 – $85
24	WellCare omc wellcare phw other · outpatient	$85	$85	—	—	—	$85 – $85
25	WellCare omc wellcare/fedelis medicare other · both	$85	$85	—	—	—	$85 – $85

Page 1 of 3 · 59 rates

Last updated: Apr 1, 2026

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