Sirolimus-protein bound 100 mg intravenous suspension cost in Texas

SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION · HCPCS J9331

Hospital City Cash price Negotiated range Payers
Covenant Hospital Levelland Levelland not published $84.50 – $91.90 4
HCA HOUSTON SOUTHEAST PASADENA not published $117.63 – $204.56 4
Texas Health Huguley Hospital Fort Worth South Burleson not published $89.41 – $214.86 3
Covenant Children's Hospital Lubbock not published $252.75 – $415.30 3
HCA HOUSTON NORTHWEST SPRING not published $117.63 – $204.56 5
HCA HOUSTON KINGWOOD HUMBLE not published $87.11 – $204.56 5
HCA HOUSTON CONROE CONROE not published $87.11 – $204.56 4
HCA HOUSTON MEDICAL CENTER Houston not published $117.63 – $204.56 5
HCA HOUSTON CLEAR LAKE FRIENDSWOOD not published $117.63 – $204.56 5
Covenant Hospital Plainview Plainview not published $84.50 – $91.90 4
HCA HOUSTON PEARLAND Pearland not published $117.63 – $204.56 5
Texas Health Hospital Mansfield Mansfield not published $89.41 – $214.86 3
HCA HOUSTON TOMBALL HOUSTON not published $117.63 – $204.56 5
Covenant Medical Center Lubbock not published $87.11 – $295.85 5
Adventhealth Rollins Brook Lampasas not published $260.18 – $260.18 1
Adventhealth Central Texas Killeen not published $84.57 – $260.18 4
CHRISTUS Health - West Beaumont Beaumont not published $117.63 – $263.56 25
HCA HOUSTON WEST HOUSTON not published $87.11 – $204.56 5