HCPCS J7315
Mitomycin, ophthalmic, 0.2 mg
Current codeImmunosuppressive Drugs - Non-injectable32 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Deaconess Medical Center | — | — | — |
| EvergreenHealth Medical Center | — | $363 – $374 | $454 – $467 |
| Highline Medical Center | — | $328 | $1,074 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | $65.84 | $94.05 |
| Providence St Peter Hospital | — | — | — |
| St Anthony Hospital | — | $327 | $1,074 |
| St Clare Hospital | — | $310 | $1,074 |
| St Elizabeth Hospital | $193 – $236 | $380 | $1,074 |
| St Francis Community Hospital | — | $337 | $1,074 |
| St Joseph Medical Center | — | $356 | $1,074 |
| St Michael Medical Center | — | $474 | $1,074 |
| Swedish Edmonds Hospital | — | $26.21 | $54.60 |
| Swedish Issaquah | — | $26.21 | $54.60 |
| Swedish Medical Center | — | $26.21 | $54.60 |
| Swedish Medical Center / Cherry Hill | — | $26.21 | $54.60 |
| Tacoma General Allenmore Hospital | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Yakima Valley Memorial | — | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.