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NDC 16729-0108-11

INJECTION, MITOMYCIN, 5 MG

Reported by 69 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

$29

Average

$839

Median

$697

High

$3.6k

Hospitals reporting this code

#HospitalLocation
1Mid Columbia Medical CenterDalles, OR$28$3.0k$3.0k$8.4k$184
2Dignity Community CareWoodland, CA$26$275$1.1k$3.3k$1.2k
3Dignity Community CareChandler, AZ$30$57$848$5.9k$1.7k
4Dignity Community CareSacramento, CA$26$82$637$2.7k$986
5Dignity HealthRed Bluff, CA$26$3.4k$2.7k$4.6k$1.7k
6Dignity HealthSacramento, CA$26$110$644$2.6k$982
7Sierra Nevada Memorial-miners HospitalGrass Valley, CA$30$176$1.1k$3.1k$1.3k
8Dignity HealthGilbert, AZ$30$57$794$5.4k$1.6k
9Dignity HealthCarmichael, CA$26$176$566$2.7k$916
10Dignity HealthPhoenix, AZ$27$51$685$2.6k$943
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