HCPCS J7315
Mitomycin, ophthalmic, 0.2 mg
Current codeImmunosuppressive Drugs - Non-injectable32 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Deaconess Medical Center | — | — | — |
| EvergreenHealth Medical Center | $145 – $3,509 | $363 – $374 | $454 – $467 |
| Highline Medical Center | $462 – $967 | $328 | $1,074 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | $545 | — | — |
| Mary Bridge Children's Hospital | $186 – $210 | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $816 – $868 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $473 – $877 | — | — |
| Providence Centralia Hospital | $1,105 | — | — |
| Providence Holy Family Hospital | $473 – $877 | — | — |
| Providence Regional Medical Center Everett | $473 – $877 | — | — |
| Providence St Mary Medical Center | $877 | $65.84 | $94.05 |
| Providence St Peter Hospital | $912 | — | — |
| St Anthony Hospital | $537 – $806 | $327 | $1,074 |
| St Clare Hospital | $537 – $806 | $310 | $1,074 |
| St Elizabeth Hospital | $358 – $967 | $380 | $1,074 |
| St Francis Community Hospital | $537 – $806 | $337 | $1,074 |
| St Joseph Medical Center | $537 – $806 | $356 | $1,074 |
| St Michael Medical Center | $730 – $1,074 | $474 | $1,074 |
| Swedish Edmonds Hospital | $473 | $26.21 | $54.60 |
| Swedish Issaquah | $473 | $26.21 | $54.60 |
| Swedish Medical Center | $473 | $26.21 | $54.60 |
| Swedish Medical Center / Cherry Hill | $473 | $26.21 | $54.60 |
| Tacoma General Allenmore Hospital | — | — | — |
| Virginia Mason Medical Center | $1,178 | — | — |
| Yakima Valley Memorial | — | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.