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
$3
Average
$718
Median
$5
High
$9.3k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
145 hospitals; the 90th percentile is 813.8× 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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155 hospital rates
iThe hospitals that file a Tricare 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | $1.0k | 67% | — | $512 – $2.6k |
| 3 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $2.3k | $2.3k | $1.5k | 67% | — | $763 – $3.8k |
| 5 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 6 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 7 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 8 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 9 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 10 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 11 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 12 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 13 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $125 | $118 | $53 | 45% | — | $66 – $237 |
| 14 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $303 | $715 | 235% | — | $11 – $4.0k |
| 15 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $91 | $295 | $694 | 235% | — | $11 – $3.8k |
| 16 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $91 | $295 | $694 | 235% | — | $11 – $3.8k |
| 17 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $115 | $373 | $878 | 235% | — | $13 – $4.9k |
| 18 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 19 | Boston Medical Center Boston, MA other · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 20 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 21 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 22 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $339 | $2.1k | $2.8k | 137% | — | $37 – $6.4k |
| 23 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 24 | Cary Medical Center Caribou, ME case rate · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 25 | CentraState Medical Center Freehold Township, NJ other · both | 2 | $4 | $4 | — | — | — | $4 – $4 |
← Payers reporting HCPCS J9305 · Snapshot 20261111T120946Z-9134e7f7