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  4. /09991262300

NDC 09991262300

MITOMYCIN INTRAOCULAR INJ 0.4 MG/1 ML SYRINGE

Reported by 23 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Based on 6,003–6,867 billing samples across every hospital reporting.

Low

$195

Average

$239

Median

$235

High

$328

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$212$225$116929–992$45$414
2The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$205$227$120864–918$59$428
3Carolinas Medical CenterCharlotte, NC$234$247$101715–796$98$405
4The Charlotte Mecklenburg Hospital AuthorityConcord, NC$225$230$117645–699$55$428
5North Carolina Baptist HospitalWinston Salem, NC$149$195$103568–622$19$405
6North Carolina Baptist HospitalBermuda Run, NC$149$195$103568–622$19$405
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$225$230$118445–499$45$437
8Atrium Health Hospitals IncShelby, NC$236$237$117334–388$63$428
9Carolinas Medical CenterCharlotte, NC$206$223$114296–377$98$414
10High Point Regional HealthHigh Point, NC$186$201$107299–326$65$428
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