Methotrexate therapeutic drug level cost in Wisconsin

HC Methotrexate Tda · CPT 80204

$63.80

lowest in Wisconsin

$116.60

state median

$165.00

highest in Wisconsin

$105.30

national median

Hospital City Cash price Negotiated range Payers
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac $63.80 $28.93 – $74.44 7
SSM Health Waupun Memorial Hospital Waupun $63.80 $38.57 – $67.50 4
SSM Health Ripon Community Hospital Ripon $63.80 $38.57 – $67.50 4
UnityPoint Health - Meriter Hospital Madison $99.20 $23.14 – $45.26 14
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton $103.74 $38.57 – $148.88 12
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $103.74 $38.57 – $148.88 12
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $116.60 $38.57 – $84.85 11
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $116.60 $38.57 – $84.85 11
Midwest Orthopedic Specialty Hospital Franklin $121.90 $38.57 – $90.64 13
Ascension St. Francis Hospital, Inc. Milwaukee $121.90 $38.57 – $90.64 13
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $121.90 $38.57 – $90.64 13
SSM Health St. Clare Hospital - Baraboo Baraboo $138.60 $28.93 – $281.44 5
SSM Health Monroe Hospital Monroe $138.60 $38.57 – $67.50 4
SSM Health St. Mary's Hospital - Madison Madison $145.75 $28.93 – $230.27 5
SSM Health St. Mary's Hospital - Janesville Janesville $165.00 $28.93 – $225.15 5
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $39.68 – $39.68 1
Ascension Calumet Hospital, Inc. Chilton not published $40.50 – $148.88 7