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 For Ophth Soln Kit 0.2 MG
Low
$108
Average
$1.0k
Median
$759
High
$4.4k
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 60 hospitals; the 90th percentile is 4.3× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Key West HMA LLC Key West, FL | $109 | $108 | $6 | 5% | — | $100 – $119 |
| 2 | Granbury Hospital Corporation Granbury, TX | $180 | $279 | $178 | 64% | — | $76 – $1.2k |
| 3 | White Memorial Medical Center Angeles, CA | $1.2k | $1.3k | $768 | 59% | — | $273 – $4.2k |
| 4 | Dignity Health Carmichael, CA | $1.1k | $1.0k | $370 | 37% | — | $158 – $1.4k |
| 5 | Dignity Health Redding, CA | $1.5k | $1.5k | $138 | 9% | — | $1.2k – $1.6k |
| 6 | Alegent Creighton Health Omaha, NE | $243 | $615 | $671 | 109% | — | $28 – $1.9k |
| 7 | Alegent Health Memorial Hospital, Schuyler Schuyler, NE | $2.1k | $1.9k | $472 | 25% | — | $470 – $2.5k |
| 8 | Alegent Creighton Health Plainview, NE | $2.1k | $1.9k | $337 | 17% | — | $1.3k – $3.0k |
| 9 | Alegent Creighton Health Papillion, NE | $243 | $619 | $670 | 108% | — | $28 – $1.9k |
| 10 | Alegent Health Bergan Mercy Health System Omaha, NE | $308 | $702 | $710 | 101% | — | $28 – $1.9k |
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