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.
Original text from hospital filings
mitoMYcin 0.5 mg/mL Drop 1 mL BOTTLE
Low
$105
Average
$404
Median
$430
High
$802
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 2.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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38 hospital rates
iThe hospitals that file a Wellmark rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $161 | $161 | — | — | — | $161 – $161 |
| 2 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 2 | $269 | $269 | — | — | — | $269 – $269 |
| 3 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 2 | $269 | $269 | — | — | — | $269 – $269 |
| 4 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $153 | $153 | — | — | — | $153 – $153 |
| 5 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 2 | $269 | $269 | — | — | — | $269 – $269 |
| 6 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $430 | $430 | — | — | — | $430 – $430 |
| 7 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · outpatient | 3 | $430 | $430 | — | — | — | $430 – $430 |
| 8 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 3 | $430 | $430 | — | — | — | $430 – $430 |
| 9 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · outpatient | 3 | $430 | $430 | — | — | — | $430 – $430 |
| 10 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 3 | $430 | $430 | — | — | — | $430 – $430 |
| 11 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · outpatient | 3 | $430 | $430 | — | — | — | $430 – $430 |
| 12 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 3 | $430 | $430 | — | — | — | $430 – $430 |
| 13 | Grinnell Regional Medical Center Grinnell, IA fee schedule · outpatient | 3 | $430 | $430 | — | — | — | $430 – $430 |
| 14 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $258 | $258 | $12 | 5% | — | $246 – $270 |
| 15 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $284 | $284 | — | — | — | $284 – $284 |
| 16 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 17 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 3 | $430 | $430 | — | — | — | $430 – $430 |
| 18 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · outpatient | 3 | $430 | $430 | — | — | — | $430 – $430 |
| 19 | Samaritan Hospital Troy, NY facility · fee schedule · both | 2 | $464 | $464 | — | — | — | $464 – $464 |
| 20 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · fee schedule · both | 1 | $802 | $802 | — | — | — | $802 – $802 |
| 21 | St Luke's Methodist Hospital Marion, IA fee schedule · both | 3 | $430 | $430 | — | — | — | $430 – $430 |
| 22 | St Luke's Methodist Hospital Marion, IA fee schedule · outpatient | 3 | $430 | $430 | — | — | — | $430 – $430 |
| 23 | St Mary Mercy Livonia Livonia, MI facility · fee schedule · both | 1 | $408 | $408 | — | — | — | $408 – $408 |
| 24 | The Finley Hospital Dubuque, IA fee schedule · both | 3 | $430 | $430 | — | — | — | $430 – $430 |
| 25 | The Finley Hospital Dubuque, IA fee schedule · outpatient | 3 | $430 | $430 | — | — | — | $430 – $430 |
← Payers reporting HCPCS J7315 · Snapshot 20261111T120946Z-9134e7f7