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
$0
Average
$191
Median
$10
High
$8.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
217 hospitals; the 90th percentile is 399.2× 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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256 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $25 | $41 | $33 | 81% | 6–60 | $11 – $92 |
| 2 | The University of Kansas Health System- St. Francis Campus Topeka, KS facility · percent of total billed charges · bothfrom % of charges | 4 | $69 | $158 | $199 | 126% | 2–20 | $8 – $630 |
| 3 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 2 | $124 | $125 | $33 | 26% | — | $90 – $161 |
| 4 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 3 | $99 | $110 | $35 | 32% | — | $61 – $161 |
| 5 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 1 | $58 | $58 | $15 | 26% | — | $43 – $73 |
| 6 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $124 | $125 | $33 | 26% | — | $90 – $161 |
| 7 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 2 | $124 | $125 | $33 | 26% | — | $90 – $161 |
| 8 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · inpatient | 2 | $124 | $125 | $33 | 26% | — | $90 – $161 |
| 9 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient | 3 | $92 | $106 | $39 | 37% | — | $51 – $161 |
| 10 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $14 | $14 | $1 | 7% | — | $13 – $15 |
| 11 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $14 | $14 | $1 | 7% | — | $13 – $15 |
| 12 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 4 | $1 | $1 | $0 | 43% | — | $0 – $1 |
| 13 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 6 | $12 | $13 | $8 | 60% | — | $5 – $25 |
| 14 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 9 | $10 | $12 | $7 | 62% | — | $3 – $25 |
| 15 | Astera Health Wadena, MN per diem · inpatient | 1 | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 16 | Astera Health Wadena, MN percent of total billed charges · inpatientfrom % of charges | 3 | $55 | $55 | — | — | — | $55 – $55 |
| 17 | Astera Health Wadena, MN percent of total billed charges · outpatientfrom % of charges | 4 | $55 | $49 | $11 | 23% | — | $29 – $55 |
| 18 | Aurelia Osborn Fox Memorial Society Oneonta, NY facility · percent of total billed charges · outpatientfrom % of charges | 6 | $4 | $4 | $2 | 44% | — | $1 – $5 |
| 19 | BASSETT HOSPITAL OF SCHOHARIE COUNTY Cobleskill, NY facility · percent of total billed charges · outpatientfrom % of charges | 14 | $3 | $2 | $1 | 39% | — | $1 – $3 |
| 20 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $69 | $69 | — | — | — | $69 – $69 |
| 21 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · outpatientfrom % of charges | 6 | $37 | $37 | $7 | 18% | — | $25 – $45 |
| 22 | BayCare Alliant Hospital Dunedin, FL facility · percent of total billed charges · outpatientfrom % of charges | 6 | $86 | $86 | — | — | — | $86 – $86 |
| 23 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · outpatientfrom % of charges | 6 | $37 | $37 | $7 | 18% | — | $25 – $45 |
| 24 | Bronson Methodist Hospital Kalamazoo, MI facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Bronson Methodist Hospital Kalamazoo, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | $13 | 23% | — | $44 – $70 |
← Payers reporting HCPCS J9255 · Snapshot 20261111T120946Z-9134e7f7