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 managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS J7520 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Cascade Valley HospitalArlington$40.381 plan$32.30$40.38
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$6.01 – $14.89$8.58 – $21.27
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$22.00$44.01
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$16.67 – $46.39$23.82 – $66.27
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 Peter HospitalOlympiaFile dated 2026-04-01—$6.58 – $22.80$12.65 – $43.85
Seattle Children's HospitalSeattle$3.60 – $79.8412 plans$14.00 – $246$14.00 – $246
Skagit Valley HospitalMount Vernon—$32.30$40.38
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
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 during a hospital stay, 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.