Sirolimus-protein bound 100 mg intravenous suspension cost in Louisiana

SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION · HCPCS J9331

Hospital City Cash price Negotiated range Payers
CHRISTUS St. Francis Cabrini Hospital Alexandria not published $109.49 – $122.89 15
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport not published $108.80 – $122.12 14
CHRISTUS Ochsner St. Patrick Hospital Lake Charles not published $106.36 – $119.38 14
CHRISTUS Ochsner Lake Area Hospital Lake Charles not published $104.62 – $117.43 14
CHRISTUS Louisiana Surgical Hospital Alexandria not published $111.72 – $299.49 6
CHRISTUS Coushatta Health Care Center Coushatta not published $120.56 – $120.56 1