Mitomycin kidney instillation, per milligram

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

PR MITOMYCIN INSTILLATION

Payers reporting HCPCS J9281

Payer pricing summary

Low

$169

Average

$12.1k

Median

$7.0k

High

$67.4k

Payer rate distribution

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#
1	Ucare professional · fee schedule · outpatient · +12 other terms	14	$12.1k	$12.4k	$3.9k	31%	202	$311 – $21.4k
2	UnitedHealthcare fee schedule · outpatient · +26 other terms	590	$483	$1.2k	$6.9k	577%	—	$1 – $184.2k
3	Aetna fee schedule · outpatient · +23 other terms	387	$359	$2.0k	$15.8k	802%	—	$1 – $322.3k
4	Cigna fee schedule · outpatient · +24 other terms	353	$467	$966	$2.4k	248%	—	$285 – $30.2k
5	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	347	$478	$698	$548	78%	—	$1 – $5.5k
6	Humana fee schedule · outpatient · +21 other terms	324	$315	$3.0k	$25.3k	855%	—	$1 – $358.1k
7	Molina fee schedule · outpatient · +19 other terms	129	$470	$1.0k	$2.6k	259%	—	$1 – $14.1k
8	WellCare fee schedule · outpatient · +14 other terms	122	$319	$355	$105	30%	—	$292 – $730
9	Anthem fee schedule · outpatient · +22 other terms	111	$456	$795	$2.4k	303%	—	$280 – $22.7k
10	Caresource fee schedule · outpatient · +11 other terms	72	$365	$488	$1.5k	317%	—	$1 – $20.2k
11	Ambetter facility · fee schedule · outpatient · +12 other terms	68	$582	$610	$130	21%	—	$311 – $794
12	Devoted fee schedule · outpatient · +11 other terms	65	$319	$318	$15	5%	—	$290 – $345
13	Kaiser fee schedule · outpatient · +16 other terms	61	$485	$1.9k	$6.5k	336%	—	$259 – $41.7k
14	MultiPlan fee schedule · outpatient · +13 other terms	39	$1.0k	$24.0k	$82.4k	343%	—	$317 – $358.1k
15	Highmark facility · fee schedule · outpatient · +12 other terms	36	$350	$545	$347	64%	—	$172 – $1.8k
16	Optum fee schedule · outpatient · +16 other terms	34	$312	$408	$180	44%	—	$283 – $930
17	Oscar facility · fee schedule · outpatient · +14 other terms	34	$407	$424	$87	20%	—	$324 – $589
18	Bcbs Tx fee schedule · outpatient · +3 other terms	31	$1.2k	$1.1k	$498	45%	—	$292 – $2.1k
19	Medicare fee schedule · outpatient · +10 other terms	29	$312	$313	$4	1%	—	$278 – $353
20	Medica fee schedule · outpatient · +17 other terms	28	$697	$1.1k	$1.4k	125%	—	$332 – $5.6k
21	Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms	27	$319	$1.7k	$6.7k	401%	—	$317 – $36.1k
22	Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms	27	$372	$372	$81	22%	—	$294 – $533
23	Tricare facility · fee schedule · outpatient · +13 other terms	25	$45.3k	$42.3k	$37.0k	88%	—	$308 – $89.8k
24	Aetna Better Health fee schedule · outpatient · +11 other terms	23	$319	$327	$16	5%	—	$310 – $353
25	Clover fee schedule · outpatient · +7 other terms	23	$340	$337	$19	6%	—	$302 – $367

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