Lithium therapeutic drug level cost at US hospitals
HC Lithium Tda · CPT 80178
$4.20
lowest cash price
$69.75
national median
$708.80
highest cash price
922
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $4.20–$708.80 — the variation is the story.
Cheapest published cash price
$4.20
OSF Healthcare Divine Mercy Continuing Care Hospital — Peoria, ILMedian cash price over time
Sep 1, 2025 ($113.40) → Sep 1, 2026 ($99.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 5 | $13.44 | $109.20 | $233.22 |
| Arizona | 24 | $4.37 | $8.63 | $162.68 |
| Arkansas | 11 | $18.60 | $62.40 | $92.30 |
| California | 91 | $12.52 | $106.05 | $347.51 |
| Colorado | 13 | $11.80 | $245.56 | $352.01 |
| Florida | 63 | $34.45 | $164.76 | $501.89 |
| Georgia | 24 | $33.00 | $69.42 | $212.00 |
| Hawaii | 2 | $41.25 | $41.25 | $59.20 |
| Illinois | 50 | $4.20 | $87.12 | $329.04 |
| Indiana | 26 | $71.00 | $117.50 | $208.80 |
| Iowa | 31 | $40.30 | $66.43 | $228.00 |
| Kansas | 11 | $49.60 | $253.26 | $457.71 |
| Kentucky | 25 | $28.91 | $81.63 | $136.80 |
| Louisiana | 1 | $26.00 | $26.00 | $26.00 |
| Maine | 7 | $74.15 | $133.20 | $139.70 |
| Maryland | 2 | $24.00 | $24.00 | $24.00 |
| Michigan | 27 | $9.12 | $47.00 | $143.20 |
| Minnesota | 18 | $35.14 | $40.99 | $84.80 |
| Mississippi | 11 | $16.64 | $43.46 | $63.00 |
| Missouri | 21 | $24.00 | $146.30 | $646.26 |
| Montana | 2 | $68.00 | $68.00 | $98.40 |
| Nebraska | 13 | $31.88 | $109.62 | $152.15 |
| Nevada | 4 | $18.86 | $20.89 | $26.32 |
| New Hampshire | 1 | $197.15 | $197.15 | $197.15 |
| New Jersey | 23 | $6.61 | $7.27 | $54.50 |
| New Mexico | 2 | $157.08 | $157.08 | $157.08 |
| New York | 22 | $6.61 | $6.61 | $206.00 |
| North Carolina | 15 | $42.84 | $70.58 | $93.00 |
| North Dakota | 4 | $39.20 | $39.20 | $39.20 |
| Ohio | 67 | $20.15 | $61.80 | $250.20 |
| Oklahoma | 18 | $36.00 | $59.15 | $224.90 |
| Oregon | 12 | $28.05 | $54.00 | $58.50 |
| Pennsylvania | 33 | $23.00 | $46.80 | $349.80 |
| South Carolina | 11 | $34.00 | $126.00 | $350.00 |
| South Dakota | 7 | $38.40 | $60.00 | $95.20 |
| Tennessee | 36 | $4.48 | $22.11 | $639.29 |
| Texas | 103 | $11.76 | $136.09 | $708.80 |
| Virginia | 43 | $11.27 | $117.00 | $661.00 |
| Washington | 33 | $13.20 | $38.24 | $145.60 |
| West Virginia | 18 | $15.20 | $46.00 | $120.60 |
| Wisconsin | 35 | $21.09 | $62.50 | $172.70 |
| Wyoming | 4 | $21.84 | $31.98 | $34.58 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | $133.20 | $6.61 – $12.29 |
| Morgan County ARH Hospital | Liberty, KY | $133.20 | $6.61 – $6.61 |
| Mary Breckinridge ARH Hospital | Hayden, KY | $133.20 | $6.61 – $6.61 |
| ARH Our Lady of the Way Hospital | Martin, KY | $133.20 | $6.61 – $6.61 |
| OSF Saint Elizabeth Medical Center | Ottawa, IL | $133.20 | $6.61 – $6.74 |
| Adventhealth Rollins Brook | Lampasas, TX | $136.09 | $5.95 – $25.45 |
| Waldo County General Hospital | Belfast, ME | $136.35 | $6.61 – $128.44 |
| Lourdes Hospital | Paducah, KY | $136.80 | not published |
| St. John's Camarillo Hospital | Camarillo, CA | $139.29 | $6.61 – $20.63 |
| Stephens Memorial Hospital | Norway, ME | $139.70 | $6.61 – $131.32 |
| ADVENTIST HEALTH DELANO | Delano, CA | $141.40 | $1.99 – $43.51 |
| Providence Holy Cross Medical Center | Mission Hills, CA | $141.75 | $6.61 – $17.65 |
| Providence Centralia Hospital | Centralia, WA | $141.96 | $6.61 – $41.18 |
| Providence St Peter Hospital | Olympia, WA | $141.96 | $5.62 – $37.02 |
| OSF St Francis Hospital | Escanaba, MI | $143.20 | not published |
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | $145.20 | $4.96 – $52.60 |
| OSF Saint Anthony Medical Center | Rockford, IL | $145.20 | $6.61 – $23.14 |
| Redwood City Medical Center | Redwood City, CA | $145.60 | $6.00 – $6.00 |
| Oakland Medical Center | Oakland, CA | $145.60 | $6.00 – $6.00 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | $145.60 | $6.61 – $23.80 |
| Sacramento Medical Center | SACRAMENTO, CA | $145.60 | $6.00 – $6.00 |
| San Leandro Medical Center | SAN LEANDRO, CA | $145.60 | $6.00 – $6.00 |
| Santa Clara Medical Center | SANTA CLARA, CA | $145.60 | $6.00 – $6.00 |
| San Rafael Medical Center | SAN RAFAEL, CA | $145.60 | $6.00 – $6.00 |
| Santa Rosa Medical Center | SANTA ROSA, CA | $145.60 | $6.00 – $6.00 |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $145.60 | $6.00 – $6.00 |
| South Sacramento Medical Center | SACRAMENTO, CA | $145.60 | $6.00 – $6.00 |
| Vacaville Medical Center | VACAVILLE, CA | $145.60 | $6.00 – $6.00 |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $145.60 | $6.00 – $6.00 |
| Vallejo Medical Center | VALLEJO, CA | $145.60 | $6.00 – $6.00 |
| Antioch Medical Center | ANTIOCH, CA | $145.60 | $6.00 – $6.00 |
| Fremont Medical Center | FREMONT, CA | $145.60 | $6.00 – $6.00 |
| Fresno Medical Center | FRESNO, CA | $145.60 | $6.00 – $6.00 |
| Roseville Medical Center | ROSEVILLE, CA | $145.60 | $6.00 – $6.00 |
| San Jose Medical Center | SAN JOSE, CA | $145.60 | $6.00 – $6.00 |
| San Francisco Medical Center | SAN FRANCISCO, CA | $145.60 | $6.00 – $6.00 |
| OVIEDO MEDICAL CENTER | Oviedo, FL | $145.95 | $5.99 – $69.71 |
| Mercy Medical Center Mt. Shasta | Mt Shasta, CA | $146.27 | $3.44 – $6.61 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $146.30 | $6.61 – $27.25 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $146.30 | $6.61 – $27.25 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $146.30 | $6.61 – $27.25 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $146.30 | $6.61 – $27.25 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $146.30 | $6.61 – $27.25 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $146.30 | $6.61 – $27.25 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $147.30 | $5.55 – $27.22 |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $147.30 | $5.55 – $27.22 |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $147.30 | $5.55 – $27.22 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $147.30 | $5.55 – $27.22 |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $147.30 | $5.55 – $27.22 |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $147.30 | $5.55 – $27.22 |