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.
Original text from hospital filings
Methotrexate sodium inj
Low
$0
Average
$96
Median
$17
High
$642
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
17 hospitals; the 90th percentile is 523.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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18 hospital rates
iThe hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $17 | $17 | $16 | 94% | — | $1 – $33 |
| 2 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 3 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 4 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 5 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 6 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 7 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $626 | $642 | $277 | 43% | — | $267 – $1.1k |
| 9 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $626 | $642 | $277 | 43% | — | $267 – $1.1k |
| 10 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $35 | $72 | $60 | 83% | — | $25 – $157 |
| 11 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $33 | $56 | $49 | 88% | — | $18 – $139 |
| 12 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | TROY COMMUNITY HOSPITAL INCORPORATED Troy, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 16 | University Hospital & Clinics, Inc. Lafayette, LA other · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | University of Virginia Culpeper Medical Center Culpeper, VA fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Westchester Medical Center Valhalla, NY facility · fee schedule · outpatient | 1 | $33 | $56 | $49 | 88% | — | $18 – $139 |
← Payers reporting HCPCS J9250 · Snapshot 20261111T120946Z-9134e7f7