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  4. /NDC 72493010140

NDC 72493010140

mitoMYcin 40 mg x 2 intra-pyelocalyceal kit at Baylor University Medical Center

Dallas, TX

Pricing by billing methodology

Price type

All methodologies

$13.1k

Aggregated across all available billing methodologies for this code.

Case rate

$6.9k

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

$339

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

$44.9k

Reflects a negotiated percentage of total billed charges.

Other

Not reported

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Jun 29, 2026

Compare to other hospitals

See mitoMYcin 40 mg x 2 intra-pyelocalyceal kit pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.

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