Methotrexate drug level blood test

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC DRUG ASSAY METHOTREXATE

Payers reporting CPT 80204

Payer pricing summary

Low

$20

Average

$97

Median

$84

High

$295

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +31 other terms	771	$39	$43	$30	70%	1–10	$1 – $634
2	Ambetter fee schedule · outpatient · +17 other terms	107	$64	$57	$19	33%	1–10	$25 – $126
3	Aetna fee schedule · outpatient · +25 other terms	669	$40	$107	$418	392%	—	$0 – $8.4k
4	Humana fee schedule · outpatient · +23 other terms	513	$39	$52	$42	81%	—	$1 – $312
5	Blue Cross Blue Shield fee schedule · outpatient · +27 other terms	504	$54	$79	$64	80%	—	$1 – $623
6	Cigna fee schedule · outpatient · +23 other terms	390	$72	$91	$62	69%	—	$5 – $389
7	WellCare fee schedule · outpatient · +15 other terms	302	$40	$41	$10	24%	—	$14 – $143
8	Molina fee schedule · outpatient · +26 other terms	286	$42	$45	$20	45%	—	$1 – $167
9	Anthem fee schedule · outpatient · +22 other terms	202	$39	$72	$68	94%	—	$9 – $289
10	Devoted fee schedule · outpatient · +13 other terms	189	$39	$39	$1	2%	—	$38 – $43
11	Oscar fee schedule · outpatient · +17 other terms	169	$74	$82	$28	34%	—	$23 – $118
12	Cigna Healthspring fee schedule · outpatient · +7 other terms	132	$40	$39	$3	7%	—	$23 – $64
13	Kaiser fee schedule · outpatient · +18 other terms	125	$39	$43	$25	58%	—	$5 – $180
14	Aetna Better Health fee schedule · outpatient · +18 other terms	109	$35	$35	$5	14%	—	$9 – $41
15	Caresource fee schedule · outpatient · +15 other terms	89	$39	$51	$30	59%	—	$1 – $145
16	MultiPlan fee schedule · outpatient · +15 other terms	86	$141	$160	$115	72%	—	$18 – $349
17	Tricare facility · fee schedule · outpatient · +15 other terms	68	$38	$44	$66	150%	—	$13 – $636
18	Highmark facility · fee schedule · outpatient · +14 other terms	63	$62	$62	$35	55%	—	$23 – $175
19	Optum fee schedule · outpatient · +18 other terms	63	$39	$46	$16	35%	—	$32 – $96
20	First Health fee schedule · outpatient · +15 other terms	59	$39	$46	$37	81%	—	$21 – $233
21	Superior Healthplan fee schedule · outpatient · +7 other terms	53	$41	$84	$54	64%	—	$32 – $177
22	Amerihealth Caritas fee schedule · outpatient · +12 other terms	49	$39	$41	$10	25%	—	$14 – $58
23	Clover fee schedule · outpatient · +9 other terms	49	$40	$39	$1	2%	—	$39 – $41
24	Medicaid facility · fee schedule · outpatient · +13 other terms	48	$35	$38	$8	20%	—	$21 – $91
25	Medicare fee schedule · both · +12 other terms	47	$39	$39	$2	4%	—	$39 – $52

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