Mitomycin eye treatment, 0.2 mg at AMH Cath Labs LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MITOMYCIN 0.2 MG OPHTHALMIC KIT [116950]

Arlington, TX

See all hospitals reporting HCPCS J7315 →

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How this price compares nationally

AMH Cath Labs LLC’s median price of $775 is 40% above the median hospital's median price ($555), higher than 62% of the 1,111 hospitals reporting HCPCS J7315. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J7315 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 8 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$115	$115	—	—	—	$115 – $115
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$115	$115	—	—	—	$115 – $115
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$121	$121	—	—	—	$121 – $121
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$124	$124	—	—	—	$124 – $124
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$127	$127	—	—	—	$127 – $127
6	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$447	$447	—	—	—	$447 – $447
7	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$531	$531	—	—	—	$531 – $531
8	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$596	$596	—	—	—	$596 – $596
9	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$668	$668	—	—	—	$668 – $668
10	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$708	$708	—	—	—	$708 – $708
11	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$708	$708	—	—	—	$708 – $708
12	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$714	$714	—	—	—	$714 – $714
13	Blue Cross Blue Shield hmo fee schedule · outpatient	$735	$735	—	—	—	$735 – $735
14	Blue Cross Blue Shield exchange fee schedule · outpatient	$754	$754	—	—	—	$754 – $754
15	Blue Cross Blue Shield ppo fee schedule · outpatient	$817	$817	—	—	—	$817 – $817
16	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$898	$898	—	—	—	$898 – $898
17	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$901	$901	—	—	—	$901 – $901
18	Aetna asa percent of total billed charges · outpatientfrom % of charges	$906	$906	—	—	—	$906 – $906
19	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$906	$906	—	—	—	$906 – $906
20	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$963	$963	—	—	—	$963 – $963
21	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
22	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
23	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
24	Cigna indemnity percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
25	Blue Cross Blue Shield traditional fee schedule · outpatient	$3.3k	$3.3k	—	—	—	$3.3k – $3.3k

Last updated: Apr 21, 2026

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