Mitomycin injection, 5 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 5 MG INTRAVENOUS SOLUTION

Payers reporting HCPCS J9280

Payer pricing summary

Low

$14

Average

$524

Median

$388

High

$2.1k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +31 other terms	516	$48	$313	$969	309%	45–450	$1 – $18.4k
2	Anthem fee schedule · outpatient · +25 other terms	173	$55	$122	$260	212%	20–200	$20 – $5.3k
3	UnitedHealthcare fee schedule · outpatient · +32 other terms	755	$45	$155	$538	347%	19–91	$0 – $10.5k
4	Cigna fee schedule · outpatient · +26 other terms	464	$65	$276	$709	257%	14–140	$0 – $7.9k
5	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	466	$88	$234	$499	213%	10–100	$0 – $7.0k
6	Humana fee schedule · outpatient · +26 other terms	430	$29	$250	$965	386%	3–30	$0 – $20.5k
7	First Health fee schedule · outpatient · +20 other terms	39	$1.5k	$1.6k	$1.9k	121%	2–20	$28 – $9.7k
8	Caresource fee schedule · outpatient · +18 other terms	101	$33	$59	$120	203%	1–10	$1 – $1.9k
9	Kaiser fee schedule · outpatient · +21 other terms	100	$61	$415	$1.0k	242%	1–10	$1 – $7.2k
10	Molina fee schedule · outpatient · +28 other terms	171	$44	$102	$352	344%	—	$1 – $8.8k
11	WellCare fee schedule · outpatient · +19 other terms	161	$29	$56	$112	199%	—	$19 – $963
12	MultiPlan fee schedule · outpatient · +18 other terms	94	$1.8k	$2.0k	$2.7k	131%	—	$1 – $20.5k
13	Ambetter facility · fee schedule · outpatient · +17 other terms	87	$49	$63	$62	99%	—	$20 – $587
14	Devoted fee schedule · outpatient · +14 other terms	62	$21	$28	$31	113%	—	$19 – $293
15	Optum fee schedule · outpatient · +20 other terms	61	$28	$401	$923	230%	—	$1 – $7.5k
16	Highmark facility · fee schedule · outpatient · +16 other terms	60	$40	$189	$289	153%	—	$16 – $1.4k
17	Oscar facility · fee schedule · outpatient · +17 other terms	44	$32	$31	$5	17%	—	$22 – $79
18	Medica fee schedule · outpatient · +19 other terms	43	$360	$1.0k	$6.6k	655%	—	$21 – $67.9k
19	Amerihealth Caritas facility · fee schedule · outpatient · +17 other terms	42	$21	$33	$53	159%	—	$20 – $587
20	Regence facility · fee schedule · both · +18 other terms	41	$170	$230	$275	119%	—	$25 – $1.7k
21	Premera facility · fee schedule · both · +10 other terms	39	$162	$225	$280	124%	—	$25 – $1.7k
22	Carefirst facility · fee schedule · both · +10 other terms	38	$164	$236	$290	123%	—	$26 – $1.7k
23	Excellus facility · fee schedule · both · +12 other terms	38	$164	$221	$272	123%	—	$26 – $1.7k
24	Wellmark facility · fee schedule · both · +15 other terms	38	$164	$210	$258	123%	—	$26 – $1.7k
25	Medicare fee schedule · outpatient · +14 other terms	36	$26	$32	$54	172%	—	$1 – $522

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