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NDC 9999911139

MITOMYCIN 40 MG IN 50 ML STERILE WATER FOR BLADDER INSTILLATION - COMPOUND

Reported by 20 hospitals in the network.

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.

National pricing summary

Low

$4.0k

Average

$7.4k

Median

$8.7k

High

$12.1k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Catholic Health Initiatives ColoradoColorado Springs, CO$200$4.3k$5.1k—$20$16.7k
2Catholic Health Initiatives ColoradoSalt Lake City, UT$9.4k$8.7k$6.0k—$26$19.0k
3Catholic Health Initiatives ColoradoColorado Springs, CO$4.8k$4.8k$5.4k—$20$16.7k
4Catholic Health Initiatives ColoradoLehi, UT$9.5k$8.9k$5.9k—$26$19.0k
5St Francis HospitalColorado Springs, CO$2.3k$4.0k$4.5k—$20$16.1k
6Longmont United HospitalLongmont, CO$4.5k$4.4k$5.3k—$20$17.1k
7Catholic Health Initiatives ColoradoFrisco, CO$8.7k$8.7k$6.5k—$20$17.5k
8Commonspirit Kansas, Inc.Ulysses, KS$15.2k$12.1k$5.8k—$82$18.0k
9Commonspirit Kansas, Inc.Dodge City, KS$12.5k$8.7k$7.2k—$20$17.1k
10Catholic Health Initiatives ColoradoPueblo, CO$6.1k$5.7k$5.6k—$20$16.7k
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Look up this code directly

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