HCPCS J7520

Sirolimus, oral, 1 mg

Current codeImmunosuppressive Drugs - Non-injectable26 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for HCPCS J7520 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Valley HospitalArlington	—	$32.30	$40.38
Harborview Medical CenterSeattleFile dated 2026-04-01	—	—	—
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	$6.01 – $14.89	$8.58 – $21.27
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	—	—
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	$22.00	$44.01
PeaceHealth Peace Island Medical CenterFriday Harbor	—	$5.89 – $578	$9.06 – $889
PeaceHealth Southwest Medical CenteVancouver	—	$5.89 – $578	$9.06 – $889
PeaceHealth St John Medical CenterLongview	—	$5.89 – $578	$9.06 – $889
PeaceHealth St Joseph Medical CenterBellingham	—	$5.89 – $578	$9.06 – $889
PeaceHealth United General Medical CenterSedro Woolley	—	$5.89 – $578	$9.06 – $889
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01	—	$16.67 – $46.39	$23.82 – $66.27
Providence Centralia HospitalCentraliaFile dated 2026-04-01	—	—	—
Providence Holy Family HospitalSpokaneFile dated 2026-04-01	—	$16.67 – $46.39	$23.82 – $66.27
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$11.36	$21.85
Providence St Joseph HospitalChewelahFile dated 2026-04-01	—	$16.67 – $18.50	$23.82 – $26.43
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01	—	—	—
Providence St Peter HospitalOlympiaFile dated 2026-04-01	—	$6.58 – $22.80	$12.65 – $43.85
Seattle Children's HospitalSeattle	$3.53 – $61.891 plan	$14.00 – $246	$14.00 – $246
Skagit Valley HospitalMount Vernon	—	$32.30	$40.38
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01	—	—	—
Swedish IssaquahIssaquahFile dated 2026-04-01	—	—	—
Swedish Medical CenterSeattleFile dated 2026-04-01	—	$19.63	$40.89
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01	—	$19.63 – $73.53	$40.89 – $153
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	—	—
Virginia Mason Medical CenterSeattle	—	$11.53 – $42.35	$22.60 – $83.03
Yakima Valley MemorialYakimaFile dated 2026-08-27	—	$5.84 – $15.60	$14.60 – $39.00

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.