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Methotrexate Sodium

New York rates for HCPCS J9250

Methotrexate sodium, 5 mg

Rates data updated October 2026.

How much does Methotrexate Sodium cost?

$3.74per dose

One 19 mg dose, at the doctor's office rate. In New York, October 2026.

Negotiated ratewhat insurers pay per 5 mg of the drug
$1.00 / 5 mg
Average doseacross Medicare claims, discarded units included
× 19 mg
One dosedrug only; giving it and the visit are billed separately
$3.74

Work out the cost of a dose

This drug is priced per 5 mg. Enter the amount given to see what insurers have agreed to pay for it. Prefilled with the average administration in Medicare claims, discarded units included.

mg
In a doctor's office or clinic
$3.80

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $1 · 10th to 90th $0 to $1
$0.2$0.5$1facility $0professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.30
Median
$0.30
Typical High
$0.33
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$0.21
Median
$0.21
Typical High
$0.21
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
United
Setting
Professional
Modifier
None
Typical Low
$0.23
Median
$0.33
Typical High
$0.62
Univera
Setting
Facility
Modifier
None
Typical Low
$0.21
Median
$0.21
Typical High
$0.22
Univera
Setting
Professional
Modifier
None
Typical Low
$0.12
Median
$0.21
Typical High
$0.21

Where New York sits

The same service costs 10.5 times more in Washington, DC than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 4th of 42

$1.00

DC $2.00MT $0.19

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.