Every billing code / HCPCS J9260 / St Elizabeth Hospital
HCPCS J9260 at St Elizabeth Hospital
Injection, methotrexate sodium, 50 mg
St Elizabeth Hospital, Enumclaw
Description from CMS's HCPCS Level II code file.
What St Elizabeth Hospital publishes for this code: as an outpatient
St Elizabeth Hospital’s prices for HCPCS J9260, as an outpatient| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $2.87 – $1,3628 plans | — |
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| Medicare AdvantageInsurer rates | $1.55 – $33312 plans | — |
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| Medicaid managed careInsurer rates | $1.47 – $3135 plans | — |
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| Cash pricePaying yourself, without insurance | $3.04 – $535 | — |
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| List priceBefore any discount; few people pay it | $8.60 – $1,514 | — |
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Lowest and highest amounts St Elizabeth Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-02-28. This is one line of a bill; most care brings several.
What St Elizabeth Hospital publishes for this code: during a hospital stay
St Elizabeth Hospital’s prices for HCPCS J9260, during a hospital stay| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $3.10 – $1,3629 plans | — |
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| Medicaid managed careInsurer rates | $2.41 – $5025 plans | — |
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| Cash pricePaying yourself, without insurance | $3.04 – $535 | — |
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| List priceBefore any discount; few people pay it | $8.60 – $1,514 | — |
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Lowest and highest amounts St Elizabeth Hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. Its price file is dated 2026-02-28. This is one line of a bill; most care brings several.
Bills to expect
The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in Seattle (King County) for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.
Bills to expect for HCPCS J9260 at St Elizabeth Hospital| Bill | What it’s for | Original Medicare allows | Private plan estimate |
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| Hospital's feeThe hospital | The drug, per billing unit | — | The price above |
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Drug prices are per billing unit (the unit is in the code's name, such as "per 10 mg"). Your dose decides how many units you're billed, so the total depends on your prescription, and giving the drug may be billed separately.
Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.
Compare HCPCS J9260 at every Washington hospital, with Medicare’s reference amounts.