NDC 49771-0002-03
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
mitoMYcin 0.2 mg/1 mL Soln-Opth Kit
Low
$31
Average
$556
Median
$900
High
$1.5k
Filter by billing methodology
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Showing only prices reported under the case rate methodology. Choose another in the filter above to change the chart. 17 hospitals; the 90th percentile is 28.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Oro Valley Hospital LLC Tucson, AZ | $77 | $85 | $14 | 16% | — | $73 – $1.6k |
| 2 | Alegent Creighton Health Omaha, NE | $28 | $31 | $10 | 32% | — | $28 – $1.9k |
| 3 | Alegent Creighton Health Papillion, NE | $28 | $31 | $10 | 32% | — | $28 – $1.9k |
| 4 | Alegent Health Bergan Mercy Health System Omaha, NE | $28 | $31 | $9 | 30% | — | $28 – $1.9k |
| 5 | Alegent Health Immanuel Medical Center Omaha, NE | $28 | $31 | $10 | 32% | — | $28 – $1.9k |
| 6 | Alegent Health Bergan Mercy Health System Council Bluffs, IA | $28 | $31 | $10 | 32% | — | $28 – $1.9k |
| 7 | Alegent Health Bergan Mercy Health System Omaha, NE | $28 | $31 | $9 | 30% | — | $28 – $1.9k |
| 8 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $1.5k | $1.5k | — | — | — | $262 – $1.5k |
| 9 | Boston Medical Center Boston, MA | $431 | $431 | — | — | — | $431 – $1.2k |
| 10 | University Hospitals Health System Chardon, OH | $900 | $900 | — | — | — | $685 – $1.6k |
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