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Methotrexate Sodium

Wisconsin rates for HCPCS J9250

Methotrexate sodium, 5 mg

Rates data updated July 2026.

How much does Methotrexate Sodium cost?

$2.06per dose

One 19 mg dose, at the doctor's office rate. In Wisconsin, July 2026.

Negotiated ratewhat insurers pay per 5 mg of the drug
$0.55 / 5 mg
Average doseacross Medicare claims, discarded units included
× 19 mg
One dosedrug only; giving it and the visit are billed separately
$2.06

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
$2.09
At a hospital outpatient department
$2.75

The same drug, in the same amount, costs 32% more at a hospital than at a doctor's office.

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where the price changes

Given atPer 5 mgPer 19 mg dose
Doctor's office or clinic$0.55$2.06
Hospital outpatient department$0.72$2.71

How much rates vary

Facilitymedian $1 · 10th to 90th $0 to $85Professionalmedian $1 · 10th to 90th $0 to $39
$0.5$2.0$10.0$50.0facility $1professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.39
Median
$0.72
Typical High
$1.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.30
Median
$0.55
Typical High
$0.63
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.32
Median
$38.90
Typical High
$38.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
United
Setting
Facility
Modifier
Global
Typical Low
$0.38
Median
$0.38
Typical High
$0.38

Where Wisconsin sits

The same service costs 234422.9 times more in Kentucky than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Wisconsin $0.55 · 15th of 48
KY $46,774RI $0.20

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.