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NDC 16729-0108-11

INJECTION, MITOMYCIN, 5 MG

Reported by 17 hospitals in the network under the other 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 a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$25

Average

$246

Median

$32

High

$1.4k

Hospitals reporting this code

#HospitalLocation
1Mid Columbia Medical CenterDalles, OR$28$29$961$8.4k$2.4k
2Saint Alphonsus Regional Medical Center - BoiseBoise, ID$26$26$35$3.5k$15
3Saint Alphonsus Medical Center - NampaNampa, ID$26$27$36$3.1k$15
4Saint Alphonsus Medical Center - OntarioOntario, OR$26$26$32$3.4k$14
5St Joseph Mercy ChelseaChelsea, MI$14$26$28$3.5k$10
6Mercy Health Hackley CampusMuskogen, MI$14$26$25$3.5k$7
7Mercy Health Saint MarysGrand Rapids, MI$14$26$25$3.5k$7
8Holy Cross Hospital-Silver SpringSilver Spring, MD$27$27$27$3.7k—
9Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$26$26$33$5.6k$14
10Samaritan HospitalTroy, NY$26$28$31$2.1k$8
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