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 5 MG INTRAVENOUS SOLR [12895]
Arlington, TX
See all hospitals reporting HCPCS J9280 →Price type
AMH Cath Labs LLC’s median price of $380 is 284% above the median hospital's median price ($99), higher than 73% of the 2,071 hospitals reporting HCPCS J9280. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 33 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 medicare advantage case rate · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 2 | Humana medicare advantage case rate · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 4 | Molina medicare advantage case rate · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 9 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $123 | $123 | $50 | 41% | — | $73 – $173 |
| 10 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $123 | $123 | $50 | 41% | — | $73 – $173 |
| 11 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $129 | $129 | $53 | 41% | — | $76 – $182 |
| 12 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $133 | $133 | $54 | 41% | — | $79 – $187 |
| 13 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $135 | $135 | $55 | 41% | — | $80 – $191 |
| 14 | Blue Cross Blue Shield hmo fee schedule · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 15 | Blue Cross Blue Shield exchange fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 16 | Blue Cross Blue Shield ppo fee schedule · outpatient | $193 | $193 | — | — | — | $193 – $193 |
| 17 | UnitedHealthcare all payer fee schedule · outpatient | $305 | $305 | — | — | — | $305 – $305 |
| 18 | UnitedHealthcare ppo fee schedule · outpatient | $305 | $305 | — | — | — | $305 – $305 |
| 19 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $478 | $478 | $195 | 41% | — | $283 – $673 |
| 20 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $587 | $587 | $240 | 41% | — | $347 – $827 |
| 21 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $637 | $637 | $260 | 41% | — | $377 – $897 |
| 22 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $764 | $764 | $312 | 41% | — | $452 – $1.1k |
| 23 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $783 | $783 | $320 | 41% | — | $463 – $1.1k |
| 24 | Blue Cross Blue Shield traditional fee schedule · outpatient | $791 | $791 | — | — | — | $791 – $791 |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $960 | $960 | $392 | 41% | — | $568 – $1.4k |
Last updated: Apr 21, 2026
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