Sirolimus oral medication, per milligram at Samaritan Hospital

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
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

SIROLIMUS 1 MG/ML ORAL SOLUTION

Troy, NY

See all hospitals reporting HCPCS J7520 →

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Pricing by billing methodology

Price type

How this price compares nationally

Samaritan Hospital’s median price of $11 is 6% above the median hospital's median price ($10), higher than 51% of the 1,706 hospitals reporting HCPCS J7520. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J7520 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 15 payers, 27 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	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$1	$1	$0	35%	—	$1 – $2
2	Anthem empire medicaid facility · fee schedule · both	$1	$1	$0	36%	—	$1 – $2
3	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both	$1	$1	$0	36%	—	$1 – $2
4	Excellus empire medicaid facility · fee schedule · both	$1	$1	$0	36%	—	$1 – $2
5	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both	$1	$1	$0	36%	—	$1 – $2
6	Cigna cigna facility · fee schedule · both	$1	$2	$1	36%	—	$1 – $3
7	UnitedHealthcare united healthcare facility · fee schedule · both	$2	$2	$1	35%	—	$2 – $3
8	Aetna aetna facility · fee schedule · both	$2	$3	$1	35%	—	$2 – $4
9	Medical Mutual aetna facility · fee schedule · both	$2	$3	$1	35%	—	$2 – $4
10	UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both	$3	$4	$1	35%	—	$3 – $6
11	First Health first health facility · percent of total billed charges · bothfrom % of charges	$3	$5	$4	72%	—	$3 – $11
12	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$3	$6	$4	72%	—	$3 – $12
13	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$3	$6	$4	72%	—	$3 – $12
14	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$3	$6	$4	72%	—	$3 – $12
15	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$3	$7	$5	72%	—	$3 – $14
16	Blue Cross Blue Shield blue shield of ne new york hmo facility · fee schedule · both	$11	$14	$5	35%	—	$11 – $22
17	Blue Cross Blue Shield blue shield of ne new york ppo facility · fee schedule · both	$11	$14	$5	35%	—	$11 – $22
18	Carefirst blue shield of ne new york hmo facility · fee schedule · both	$11	$14	$5	35%	—	$11 – $22
19	Carefirst blue shield of ne new york ppo facility · fee schedule · both	$11	$14	$5	35%	—	$11 – $22
20	Excellus blue shield of ne new york ppo facility · fee schedule · both	$11	$14	$5	35%	—	$11 – $22
21	Highmark blue shield of ne new york ascend facility · fee schedule · both	$11	$14	$5	35%	—	$11 – $22
22	Highmark blue shield of ne new york hmo facility · fee schedule · both	$11	$14	$5	35%	—	$11 – $22
23	Highmark blue shield of ne new york ppo facility · fee schedule · both	$11	$14	$5	35%	—	$11 – $22
24	Premera blue shield of ne new york ppo facility · fee schedule · both	$11	$14	$5	35%	—	$11 – $22
25	Regence blue shield of ne new york ppo facility · fee schedule · both	$11	$14	$5	35%	—	$11 – $22

Page 1 of 2 · 27 rates

Last updated: Mar 31, 2026

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