Oral methotrexate (Xatmep), 2.5 mg

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

METHOTREXATE 2.5 MG/ML ORAL SOLUTION (NON-ONC)

Payers reporting HCPCS J8612

Payer pricing summary

Low

$12

Average

$443

Median

$70

High

$8.2k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +17 other terms	528	$33	$35	$74	213%	—	$10 – $2.7k
2	Aetna fee schedule · outpatient · +16 other terms	342	$23	$33	$18	53%	—	$17 – $199
3	Cigna fee schedule · outpatient · +16 other terms	254	$32	$56	$45	81%	—	$14 – $194
4	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	222	$32	$48	$31	65%	—	$1 – $165
5	Humana fee schedule · outpatient · +12 other terms	199	$23	$22	$2	10%	—	$19 – $46
6	WellCare fee schedule · outpatient · +8 other terms	114	$23	$25	$7	30%	—	$19 – $49
7	Anthem fee schedule · outpatient · +16 other terms	104	$31	$39	$28	72%	—	$20 – $167
8	Molina fee schedule · outpatient · +13 other terms	96	$25	$29	$10	33%	—	$17 – $49
9	Devoted fee schedule · outpatient · +5 other terms	65	$22	$22	$1	4%	—	$21 – $24
10	Kaiser fee schedule · outpatient · +9 other terms	55	$33	$41	$27	67%	—	$22 – $159
11	Ambetter facility · fee schedule · outpatient · +8 other terms	50	$40	$42	$9	22%	—	$21 – $55
12	Caresource fee schedule · outpatient · +5 other terms	32	$29	$29	$6	21%	—	$22 – $44
13	Optum fee schedule · outpatient · +11 other terms	32	$22	$28	$12	41%	—	$20 – $64
14	Bcbs Tx fee schedule · outpatient	31	$74	$68	$30	44%	—	$19 – $131
15	Oscar facility · fee schedule · outpatient · +6 other terms	25	$29	$32	$6	19%	—	$22 – $42
16	Clover fee schedule · outpatient · +3 other terms	24	$23	$23	$1	5%	—	$21 – $25
17	Medical Mutual facility · fee schedule · outpatient · +2 other terms	20	$32	$45	$23	50%	—	$12 – $97
18	Medicare fee schedule · outpatient · +2 other terms	18	$22	$22	$0	0%	—	$22 – $22
19	Regence facility · fee schedule · outpatient · +2 other terms	18	$23	$23	$2	7%	—	$19 – $28
20	Highmark fee schedule · outpatient · +6 other terms	16	$29	$29	$11	37%	—	$12 – $60
21	Wellmark fee schedule · both · +3 other terms	14	$24	$24	$0	1%	—	$23 – $24
22	Bcbs Nj fee schedule · outpatient · +1 other terms	12	$20	$28	$22	78%	—	$19 – $100
23	Cigna Healthspring fee schedule · outpatient · +3 other terms	12	$24	$24	—	—	—	$24 – $24
24	Medica facility · fee schedule · outpatient · +9 other terms	12	$23	$20	$6	31%	—	$7 – $37
25	Aetna Better Health fee schedule · outpatient · +9 other terms	11	$23	$23	$0	1%	—	$23 – $23

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