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Montana rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Rates data updated July 2026.

How much does Jelmyto (mitomycin) cost?

$324per mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $324 for each mg of this drug. The price depends on where it is billed: about $324 from a physician practice, and about $355 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$324
At a hospital outpatient department
$355

The same drug, in the same amount, costs 10% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$324$324 to $372
FacilityA hospital or hospital-owned outpatient department$355$316 to $398

How much rates vary

Facilitymedian $355 · 10th to 90th $316 to $589Professionalmedian $324 · 10th to 90th $324 to $407
$100$200$500$1Kfacility $355professional $324

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$354.81
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$380.19
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$316.23
Typical High
$588.84
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$316.23
Typical High
$588.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$363.08
Typical High
$602.56
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$380.19
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$363.08

Where Montana sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 32nd of 51

$324

IA $355KY $324

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.