HCPCS J9331
Injection, sirolimus protein-bound particles, 1 mg
Current codeInjection - Immunomodulator33 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $85.37 – $93.90 | — | — |
| Deaconess Medical Center | $85.37 – $93.90 | — | — |
| Harborview Medical Center | $84.57 – $93.03 | — | — |
| Island Hospital | $98.79 – $105 | — | — |
| Kadlec Regional Medical Center | $87.11 – $105 | — | — |
| Legacy Salmon Creek Medical Center | $89.72 – $97.56 | — | — |
| Mary Bridge Children's Hospital | $85.37 – $93.90 | — | — |
| MultiCare Auburn Medical Center | $85.37 – $93.90 | — | — |
| MultiCare Covington Medical Center | $85.37 – $93.90 | — | — |
| MultiCare Good Samaritan Hospital | $85.37 – $93.90 | — | — |
| MultiCare Valley Hospital | $87.93 – $93.90 | — | — |
| Olympic Medical Center | $104 – $133 | — | — |
| Overlake Hospital Medical Center & Clinics | $87.11 – $90.59 | — | — |
| PeaceHealth Peace Island Medical Center | — | $15,351 | $23,617 |
| PeaceHealth Southwest Medical Cente | $87.11 – $100 | $15,351 | $23,617 |
| PeaceHealth St John Medical Center | $67.95 – $95.82 | $15,351 | $23,617 |
| PeaceHealth St Joseph Medical Center | $87.11 – $95.82 | $15,351 | $23,617 |
| PeaceHealth United General Medical Center | — | $15,351 | $23,617 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $87.11 – $105 | — | — |
| Providence Centralia Hospital | $87.11 – $139 | — | — |
| Providence Holy Family Hospital | $87.11 – $95.82 | — | — |
| Providence Regional Medical Center Everett | $87.11 – $95.82 | — | — |
| Providence St Mary Medical Center | $87.11 – $95.82 | — | — |
| Providence St Peter Hospital | $87.11 – $139 | — | — |
| Swedish Edmonds Hospital | $87.11 – $105 | — | — |
| Swedish Issaquah | $87.11 – $105 | — | — |
| Swedish Medical Center | $87.11 – $105 | — | — |
| Swedish Medical Center / Cherry Hill | $87.11 – $105 | — | — |
| Tacoma General Allenmore Hospital | $85.37 – $93.90 | — | — |
| University of Washington Medical Ctr | $84.57 – $93.03 | — | — |
| Virginia Mason Medical Center | $59.20 – $88.80 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $85.37 – $95.61 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $91.03 (APC 9241)
- Surgery center payment (national)
- $91.03