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NDC 09991287300

MITOMYCIN INTRAOCULAR INJ 0.2 MG/0.5 ML SYR

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 2–20 billing samples across every hospital reporting.

Low

$165

Average

$218

Median

$218

High

$249

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.
1North Carolina Baptist HospitalWinston Salem, NC$148$194$1011–10$85$405
2North Carolina Baptist HospitalBermuda Run, NC$132$165$1131–10$28$405
3Carolinas Medical CenterCharlotte, NC$212$224$111—$21$405
4Carolinas Medical CenterCharlotte, NC$231$232$112—$21$405
5Carolinas Medical CenterCharlotte, NC$206$224$112—$21$414
6The Charlotte Mecklenburg Hospital AuthorityConcord, NC$207$220$122—$21$428
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$208$218$125—$21$437
8Atrium Health Hospitals IncShelby, NC$236$230$122—$21$428
9The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$260$247$137—$21$432
10The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$204$212$124—$21$414
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Look up this code directly

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