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NDC 55390025101

mitoMYcin 5 mg Powder-Inj

Reported by 6 hospitals in the network under the case rate 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 negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$42

Average

$71

Median

$85

High

$85

Hospitals reporting this code

#HospitalLocation
1Northwest Sahurita Hospital LLCAZ 85748, AZ$16$77$85$236$14
2Northwest Sahurita Hospital LLCAZ 85629, AZ$16$77$85$236$14
3Oro Valley Hospital LLCTucson, AZ$16$77$85$353$14
4Northwest Hospital LLCAZ 85741, AZ$16$77$85$353$14
5Metro Knoxville HMA LLCKnoxville, TN$22$42$42$361—
6Metro Knoxville HMA LLCPowell, TN$22$42$42$509—

Look up this code directly

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