NDC 00904-7141-10
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 SODIUM 2.5 MG ORAL TAB [4973]
Low
$0
Average
$16
Median
$0
High
$816
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Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 158 hospitals; the 90th percentile is 30.1× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA | $690 | $690 | — | — | 1–10 | $11 – $690 |
| 2 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA | $816 | $816 | $76 | 9% | 1–10 | $7 – $892 |
| 3 | Northwest Iowa Hospital Corporation Sioux City, IA | $0 | $0 | — | — | — | $0 – $3 |
| 4 | St Luke's Methodist Hospital Cedar Rapids, IA | $0 | $0 | — | — | — | $0 – $2 |
| 5 | Central Iowa Hospital Corporation Des Moines, IA | $0 | $0 | — | — | — | $0 – $2 |
| 6 | Central Iowa Hospital Corporation Des Moines, IA | $0 | $0 | — | — | — | $0 – $2 |
| 7 | Allen Memorial Hospital Corporation Waterloo, IA | $0 | $0 | — | — | — | $0 – $3 |
| 8 | UnityPoint Health Marshalltown Marshalltown, IA | $0 | $0 | — | — | — | $0 – $4 |
| 9 | Gundersen Luthern Medical Center Inc La Crosse, WI | $0 | $0 | $1 | 129% | — | $0 – $2 |
| 10 | Alegent Creighton Health Omaha, NE | $1 | $42 | $50 | 119% | — | $0 – $126 |
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