Mitomycin eye treatment, 0.2 mg at Northside Hospital, Inc.

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MITOMYCIN OPHTH 0.2MG KIT

Duluth, GA

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Pricing by billing methodology

Price type

How this price compares nationally

Northside Hospital, Inc.’s median price of $1.0k is 83% above the median hospital's median price ($555), higher than 75% 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 Northside Hospital, Inc.

Negotiated rates from the hospital’s own file: 9 payers, 65 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	Caresource caresource other · outpatient	$203	$203	—	—	—	$203 – $203
2	Cigna cigna healthsprings medicare advantage other · outpatient	$271	$271	—	—	—	$271 – $271
3	Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges	$581	$581	—	—	—	$581 – $581
4	Caresource caresource marketplace percent of total billed charges · outpatientfrom % of charges	$581	$581	—	—	—	$581 – $581
5	Blue Cross Blue Shield bcbs_pathway fee schedule · outpatient	$688	$688	—	—	—	$688 – $688
6	Blue Cross Blue Shield bcbs_pathway-l fee schedule · outpatient	$688	$688	—	—	—	$688 – $688
7	Aetna aetna whole health other · inpatient	$703	$703	—	—	—	$703 – $703
8	Aetna aetna whole health-g other · inpatient	$703	$703	—	—	—	$703 – $703
9	Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges	$781	$781	—	—	—	$781 – $781
10	Aetna aetna whole health-g percent of total billed charges · outpatientfrom % of charges	$781	$781	—	—	—	$781 – $781
11	Oscar oscar percent of total billed charges · inpatientfrom % of charges	$781	$781	—	—	—	$781 – $781
12	Oscar oscar percent of total billed charges · outpatientfrom % of charges	$781	$781	—	—	—	$781 – $781
13	Aetna aetna hmo/pos/ppo other · inpatient	$812	$812	—	—	—	$812 – $812
14	Aetna aetna hmo/pos/ppo other · outpatient	$812	$812	—	—	—	$812 – $812
15	Aetna aetna hmo/pos/ppo-g other · inpatient	$812	$812	—	—	—	$812 – $812
16	Aetna aetna hmo/pos/ppo-g other · outpatient	$812	$812	—	—	—	$812 – $812
17	Aetna aetna hmo/pos/ppo-q other · inpatient	$812	$812	—	—	—	$812 – $812
18	Aetna aetna hmo/pos/ppo-q other · outpatient	$812	$812	—	—	—	$812 – $812
19	Cigna cigna other · outpatient	$984	$984	—	—	—	$984 – $984
20	Cigna cigna-g other · outpatient	$984	$984	—	—	—	$984 – $984
21	Cigna cigna-h other · outpatient	$984	$984	—	—	—	$984 – $984
22	Cigna cigna-l other · outpatient	$984	$984	—	—	—	$984 – $984
23	Kaiser kaiser_hmo percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
24	Kaiser kaiser_hmo-aga percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
25	Kaiser kaiser_hmo-bariatric percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k

Page 1 of 3 · 65 rates

Last updated: Feb 14, 2026

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