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
$1
Average
$174
Median
$7
High
$2.0k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 103.7× 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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28 hospital rates
iThe hospitals that file a WellCare 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 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $385 | $385 | — | — | — | $385 – $385 |
| 2 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $385 | $385 | — | — | — | $385 – $385 |
| 3 | Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 4 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2 | $3 | $2 | 59% | — | $1 – $5 |
| 5 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · percent of total billed charges · bothfrom % of charges | 2 | $5 | $5 | — | — | — | $5 – $5 |
| 6 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · percent of total billed charges · bothfrom % of charges | 2 | $5 | $5 | — | — | — | $5 – $5 |
| 8 | HMH HOSPITALS CORPORATION Point Pleasant, NJ facility · percent of total billed charges · bothfrom % of charges | 2 | $2 | $2 | $0 | 19% | — | $1 – $2 |
| 9 | Hackensack Meridian at Pascack Valley Westwood, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 10 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $385 | $385 | — | — | — | $385 – $385 |
| 11 | Henry Ford Health System West Bloomfield, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | $15 | 44% | — | $19 – $49 |
| 12 | Henry Ford Health System Plymouth, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | $18 | 44% | — | $22 – $58 |
| 13 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | $13 | 44% | — | $16 – $41 |
| 14 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | $9 | 44% | — | $12 – $31 |
| 15 | Hoopeston Community Memorial Hospital Hoopeston, IL per diem · inpatient | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 16 | Hoopeston Community Memorial Hospital Hoopeston, IL percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 17 | Morristown Medical Center Morristown, NJ other · outpatient | 2 | $385 | $385 | — | — | — | $385 – $385 |
| 18 | Newton Medical Center Newton, NJ other · outpatient | 2 | $385 | $385 | — | — | — | $385 – $385 |
| 19 | Overlook Medical Center Summit, NJ other · outpatient | 2 | $385 | $385 | — | — | — | $385 – $385 |
| 20 | PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 21 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 22 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 23 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 24 | PRISMA HEALTH LAURENS COUNTY HOSPITAL CLINTON, SC percent of total billed charges · bothfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 25 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
← Payers reporting HCPCS J9255 · Snapshot 20261111T120946Z-9134e7f7