NDC 09991-2621-00
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 OPHTHALMIC INJ 400 MCG/0.04 ML
Based on 24–240 billing samples across every hospital reporting.
Low
$190
Average
$237
Median
$238
High
$296
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 23 hospitals; the 90th percentile is 1.3× 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 | North Carolina Baptist Hospital Winston Salem, NC | $149 | $195 | $100 | 51% | 9–90 | $85 – $405 |
| 2 | North Carolina Baptist Hospital Bermuda Run, NC | $147 | $190 | $106 | 56% | 9–90 | $5 – $405 |
| 3 | The Charlotte Mecklenburg Hospital Authority Charlotte, NC | $225 | $234 | $116 | 50% | 2–20 | $45 – $437 |
| 4 | The Charlotte Mecklenburg Hospital Authority Charlotte, NC | $218 | $228 | $115 | 51% | 1–10 | $45 – $414 |
| 5 | Floyd Healthcare Management Inc Rome, GA | $270 | $240 | $97 | 41% | 1–10 | $3 – $383 |
| 6 | The Medical Center of Central Georgia Inc Macon, GA | $293 | $271 | $108 | 40% | 1–10 | $3 – $419 |
| 7 | Navicent Health Baldwin Inc Milledgeville, GA | $347 | $296 | $113 | 38% | 1–10 | $3 – $383 |
| 8 | Carolinas Medical Center Charlotte, NC | $226 | $238 | $102 | 43% | — | $3 – $405 |
| 9 | Carolinas Medical Center Charlotte, NC | $234 | $247 | $102 | 41% | — | $3 – $405 |
| 10 | Carolinas Medical Center Charlotte, NC | $223 | $238 | $103 | 43% | — | $3 – $414 |
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