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
PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION
Low
$1
Average
$1.5k
Median
$152
High
$160.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1468 hospitals; the 90th percentile is 926.9× 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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2,475 hospital rates
iThe hospitals that file a Aetna 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 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17.9k | $17.9k | — | — | 198 | $17.9k – $17.9k |
| 2 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 25 | $24 | $25 | $3 | 13% | 116–125 | $24 – $40 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $23 | $574 | $2.1k | 374% | 38–380 | $1 – $13.4k |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $29 | $456 | $1.5k | 326% | 19–190 | $1 – $9.1k |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 3 | $29 | $430 | $1.4k | 325% | 19–190 | $1 – $8.6k |
| 6 | Methodist Hospitals of Dallas Richardson, TX other · both | 3 | $6 | $5 | $1 | 21% | 19 | $4 – $6 |
| 7 | Methodist Hospitals of Dallas Richardson, TX other · both | 3 | $6 | $5 | $1 | 21% | 19 | $4 – $6 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 3 | $29 | $254 | $781 | 307% | 15 | $1 – $4.7k |
| 9 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $6.2k | $6.2k | $4.2k | 67% | 11 | $2.0k – $10.4k |
| 10 | Scotland Memorial Hospital Inc. Laurinburg, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $4 | $4 | — | — | 4–40 | $4 – $4 |
| 11 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $3.8k | $3.4k | 90% | 3–30 | $1.1k – $8.5k |
| 12 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $4.2k | $4.2k | $2.8k | 67% | 2–20 | $1.4k – $7.0k |
| 13 | Preston Memorial Hospital Kingwood, WV percent of total billed charges · outpatientfrom % of charges | 2 | $63 | $77 | $52 | 68% | 2–20 | $21 – $143 |
| 14 | Spencer Municipal Hospital Spencer, IA case rate · outpatient | 1 | $5 | $5 | — | — | 2–20 | $5 – $5 |
| 15 | Appalachian Regional Healthcare, Inc. Williamson, KY percent of total billed charges · bothfrom % of charges | 1 | $16.9k | $16.9k | — | — | 1–10 | $16.9k – $16.9k |
| 16 | Boston Medical Center Boston, MA other · both | 1 | $4 | $4 | — | — | 1–10 | $4 – $4 |
| 17 | Clinch Valley Health Richlands, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 18 | East Carolina Health Ahoskie, NC other · both | 1 | $6 | $6 | — | — | 1–10 | $6 – $6 |
| 19 | Halifax Regional Medical Center, Inc. Roanoke Rapids, NC other · both | 1 | $6 | $6 | — | — | 1–10 | $6 – $6 |
| 20 | MENORAH MEDICAL CENTER Overland Park, KS percent of total billed charges · outpatientfrom % of charges | 2 | $288 | $394 | $351 | 89% | 1–10 | $64 – $937 |
| 21 | RESEARCH MEDICAL CENTER KANSAS CITY, MO percent of total billed charges · outpatientfrom % of charges | 2 | $282 | $415 | $399 | 96% | 1–10 | $54 – $1.0k |
| 22 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · percent of total billed charges · bothfrom % of charges | 3 | $4.4k | $3.9k | $2.6k | 67% | 1–10 | $859 – $7.6k |
| 23 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $288 | $288 | — | — | 1–10 | $288 – $288 |
| 24 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 2 | $93 | $2.3k | $3.6k | 159% | 1–10 | $25 – $9.4k |
| 25 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $4 | $4 | $0 | 10% | — | $4 – $5 |
← Payers reporting HCPCS J9305 · Snapshot 20261111T120946Z-9134e7f7