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NDC 09991345401

MITOMYCIN 3 MG/6 ML (0.5 MG/ML) INTRAVESICAL SYRINGE

Reported by 20 hospitals in the network under the fee schedule methodology.

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.

Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$21

Average

$42

Median

$30

High

$157

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$92$92$2—$90$612
2Carolinas Medical CenterCharlotte, NC$21$30$18—$21$410
3North Carolina Baptist HospitalBermuda Run, NC$29$58$54—$28$612
4Carolinas Medical CenterCharlotte, NC$21$30$18—$21$410
5Carolinas Medical CenterCharlotte, NC$21$30$18—$21$419
6The Charlotte Mecklenburg Hospital AuthorityConcord, NC$21$22$2—$21$432
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$21$22$2—$21$441
8Atrium Health Hospitals IncShelby, NC$21$21$0—$21$432
9The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$21$21$0—$21$437
10The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$21$22$2—$21$419
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