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 (PF) 25 mg/mL Soln 10 mL VIAL
Low
$2
Average
$87
Median
$86
High
$318
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 14.1× 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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25 hospital rates
iThe hospitals that file a Ambetter 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 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $86 | $86 | — | — | — | $86 – $86 |
| 2 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $86 | $86 | — | — | — | $86 – $86 |
| 3 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $86 | $86 | — | — | — | $86 – $86 |
| 4 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $86 | $86 | — | — | — | $86 – $86 |
| 5 | Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $318 | $318 | — | — | — | $318 – $318 |
| 6 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 7 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 8 | Mease Countryside Hospital Harbor, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $86 | $86 | — | — | — | $86 – $86 |
| 9 | Mease Countryside Hospital Harbor, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $86 | $86 | — | — | — | $86 – $86 |
| 10 | Mease Dunedin Hospital Dunedin, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 11 | Mease Dunedin Hospital Dunedin, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $86 | $86 | — | — | — | $86 – $86 |
| 12 | Morton Plant Hospital Clearwater, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $86 | $86 | — | — | — | $86 – $86 |
| 13 | Morton Plant Hospital Clearwater, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $86 | $86 | — | — | — | $86 – $86 |
| 14 | Morton Plant NorthBay Hospital Lutz, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $86 | $86 | — | — | — | $86 – $86 |
| 15 | Morton Plant NorthBay Hospital Lutz, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $86 | $86 | — | — | — | $86 – $86 |
| 16 | Overlook Medical Center Summit, NJ percent of total billed charges · bothfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 17 | Pittsburg Hospital, LLC Pittsburg, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 18 | South Florida Baptist Hospital City, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $86 | $86 | — | — | — | $86 – $86 |
| 19 | South Florida Baptist Hospital City, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $86 | $86 | — | — | — | $86 – $86 |
| 20 | St. Joseph's Hospital Tampa, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $86 | $86 | — | — | — | $86 – $86 |
| 21 | St. Joseph's Hospital Tampa, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $86 | $86 | — | — | — | $86 – $86 |
| 22 | TRISTAR CENTENNIAL MEDICAL CENTER NASHVILLE, TN percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 23 | University of Florida Health Gainesville, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | $1 | 37% | — | $1 – $3 |
| 24 | Winter Haven Hospital Haven, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $86 | $86 | — | — | — | $86 – $86 |
| 25 | Winter Haven Hospital Haven, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $86 | $86 | — | — | — | $86 – $86 |
← Payers reporting HCPCS J9255 · Snapshot 20261111T120946Z-9134e7f7