HCPCS J9255

Injection, methotrexate (accord), not therapeutically equivalent to j9260, 50 mg

Current codeChemotherapeutic Agent10 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS J9255 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27	—	$10.39 – $12.55	$25.97 – $31.36
Highline Medical CenterBurienFile dated 2026-02-28	—	$13.14 – $263	$43.00 – $860
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27	—	$7.33 – $125	$18.32 – $313
St Anthony HospitalGig HarborFile dated 2026-02-28	—	$13.08 – $262	$43.00 – $860
St Clare HospitalLakewoodFile dated 2026-02-28	—	$12.40 – $248	$43.00 – $860
St Elizabeth HospitalEnumclawFile dated 2026-02-28	$12.04 – $2855 plans	$15.20 – $304	$43.00 – $860
St Francis Community HospitalFederal WayFile dated 2026-02-28	—	$13.50 – $270	$43.00 – $860
St Joseph Medical CenterTacomaFile dated 2026-02-28	—	$14.25 – $285	$43.00 – $860
St Michael Medical CenterSilverdaleFile dated 2026-02-28	—	$18.98 – $380	$43.00 – $860
Yakima Valley MemorialYakimaFile dated 2026-08-27	—	$3.62 – $5.32	$9.04 – $13.29

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.