Methotrexate injection, 50 mg (Accord brand)

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 (PF) 25 mg/mL Soln 10 mL VIAL

Payers reporting HCPCS J9255

Payer pricing summary

Low

Average

$93

Median

$61

High

$832

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	101	$10	$15	$23	154%	—	$0 – $161
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	34	$2	$65	$110	169%	—	$1 – $705
3	Bcbs Tx fee schedule · outpatient	30	$15	$13	$4	33%	—	$5 – $23
4	Oscar facility · percent of total billed charges · outpatientfrom % of charges · +4 other terms	23	$1	$18	$51	284%	—	$1 – $193
5	MultiPlan fee schedule · inpatient · +10 other terms	19	$132	$212	$242	114%	—	$14 – $774
6	Anthem facility · case rate · outpatient · +13 other terms	16	$15	$16	$5	31%	—	$2 – $25
7	Caresource facility · case rate · outpatient · +7 other terms	16	$15	$16	$5	28%	—	$2 – $26
8	Molina facility · case rate · outpatient · +14 other terms	15	$15	$17	$4	22%	—	$10 – $25
9	Cigna fee schedule · outpatient · +12 other terms	14	$226	$229	$198	86%	—	$3 – $550
10	Ambetter facility · percent of total billed charges · outpatientfrom % of charges · +4 other terms	12	$86	$99	$72	73%	—	$1 – $318
11	Healthcare Highways facility · percent of total billed charges · bothfrom % of charges · +1 other terms	12	$61	$65	$75	115%	—	$3 – $304
12	Aetna fee schedule · outpatient · +14 other terms	11	$325	$223	$286	128%	—	$1 – $757
13	Optum facility · case rate · outpatient · +5 other terms	11	$14	$15	$4	23%	—	$13 – $23
14	Medica fee schedule · outpatient · +9 other terms	10	$89	$95	$40	42%	—	$35 – $183
15	Phcs fee schedule · inpatient · +7 other terms	10	$95	$110	$34	31%	—	$71 – $166
16	Ucare fee schedule · both · +8 other terms	9	$0	$0	—	—	—	$0 – $0
17	Bcbs Mn fee schedule · both · +5 other terms	8	$0	$0	—	—	—	$0 – $0
18	Bcbs Nj facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	8	$8	$8	$1	16%	—	$7 – $14
19	Bcbs Pa facility · fee schedule · outpatient · +1 other terms	8	$0	$0	$0	4%	—	$0 – $0
20	Humana fee schedule · outpatient · +9 other terms	8	$63	$51	$45	88%	—	$1 – $166
21	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	8	$7	$10	$8	81%	—	$2 – $21
22	Medcost percent of total billed charges · bothfrom % of charges	7	$34	$34	$2	6%	—	$32 – $36
23	Medicaid fee schedule · outpatient · +4 other terms	7	$1	$1	—	—	—	$1 – $1
24	Amerihealth Caritas other · outpatient · +4 other terms	6	$389	$389	—	—	—	$389 – $389
25	Highmark other · outpatient · +2 other terms	6	$385	$385	—	—	—	$385 – $385

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