1103231037 — Hchg Methotrexate Ophth 400mcg/0.1ml Per Dose
Cite this view
HANK Price Transparency. (n.d.). HCHG METHOTREXATE OPHTH 400MCG/0.1ML PER DOSE (CPT 1103231037) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1103231037?code_type=CPT
“HCHG METHOTREXATE OPHTH 400MCG/0.1ML PER DOSE (CPT 1103231037) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1103231037?code_type=CPT. Accessed .
“HCHG METHOTREXATE OPHTH 400MCG/0.1ML PER DOSE (CPT 1103231037) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1103231037?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,214–$2,214 (25th–75th percentile) across 1 hospital · 8 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 1103231037 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| GRANT MEMORIAL HOSPITAL Inpatient | United Healthcare | United Healthcare | — | $1.00 | $0.80 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Cigna | Cigna | — | $1.00 | $0.80 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Multiplan | Multiplan | — | $1.00 | $0.80 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Caresource | Caresource | — | $1.00 | $0.80 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Aetna | Better Health | — | $1.00 | $0.80 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | United Mine Workers Of America | United Mine Workers Of America | — | $1.00 | $0.80 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $1.00 | $0.80 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Aetna Rental | First Health | — | $1.00 | $0.80 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $1.00 | $0.80 | 2026-05-13 | MRF ↗ |