Mitomycin eye treatment, 0.2 mg

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

mitoMYcin 0.5 mg/mL Drop 1 mL BOTTLE

Aetna Better Health pricing summary

Low

Average

$286

Median

$366

High

$705

Aetna Better Health rate distribution

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43 hospital rates

#		Plans
1	Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient	2	$78	$78	—	—	—	$78 – $78
2	Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient	2	$78	$78	—	—	—	$78 – $78
3	Carle BroMenn Medical Center Normal, IL fee schedule · inpatient	1	$425	$425	—	—	—	$425 – $425
4	Carle BroMenn Medical Center Normal, IL fee schedule · outpatient	1	$425	$425	—	—	—	$425 – $425
5	Carle Eureka Hospital Eureka, IL fee schedule · inpatient	1	$425	$425	—	—	—	$425 – $425
6	Carle Eureka Hospital Eureka, IL fee schedule · outpatient	1	$425	$425	—	—	—	$425 – $425
7	Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges	1	$195	$195	—	—	—	$195 – $195
8	Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges	1	$398	$398	$374	94%	—	$23 – $772
9	Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges	1	$342	$342	$322	94%	—	$20 – $664
10	Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges	1	$308	$308	—	—	—	$308 – $308
11	HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA other · outpatient	1	$705	$705	—	—	—	$705 – $705
12	HSA CGH LLC Coral Gables, FL facility · fee schedule · outpatient	1	$61	$61	—	—	—	$61 – $61
13	HSA PGH LLC Hialeah, FL facility · fee schedule · outpatient	1	$61	$61	—	—	—	$61 – $61
14	Hoopeston Community Memorial Hospital Hoopeston, IL fee schedule · inpatient	1	$425	$425	—	—	—	$425 – $425
15	Hoopeston Community Memorial Hospital Hoopeston, IL fee schedule · outpatient	1	$425	$425	—	—	—	$425 – $425
16	Inspira Health Center Bridgeton Bridgeton, NJ percent of total billed charges · outpatientfrom % of charges	1	$439	$439	—	—	—	$439 – $439
17	Inspira Health Center Woodbury Woodbury, NJ percent of total billed charges · outpatientfrom % of charges	1	$439	$439	—	—	—	$439 – $439
18	Inspira Medical Center Elmer Elmer, NJ percent of total billed charges · outpatientfrom % of charges	1	$464	$464	—	—	—	$464 – $464
19	Inspira Medical Center Mannington Salem, NJ percent of total billed charges · outpatientfrom % of charges	1	$464	$464	—	—	—	$464 – $464
20	Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges	1	$464	$464	—	—	—	$464 – $464
21	Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges	1	$439	$439	—	—	—	$439 – $439
22	LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient	1	$237	$237	—	—	—	$237 – $237
23	MENORAH MEDICAL CENTER Overland Park, KS percent of total billed charges · outpatientfrom % of charges	1	$396	$396	—	—	—	$396 – $396
24	Methodist Medical Center of Illinois Peoria, IL fee schedule · inpatient	1	$425	$425	—	—	—	$425 – $425
25	Methodist Medical Center of Illinois Peoria, IL fee schedule · outpatient	1	$425	$425	—	—	—	$425 – $425