Methotrexate drug level blood test at Shannon River Crest Hospital

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 - 80204

San Angelo, TX

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Pricing by billing methodology

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How this price compares nationally

Shannon River Crest Hospital’s median price of $130 is 180% above the median hospital's median price ($46), higher than 86% of the 2,132 hospitals reporting CPT 80204. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 80204 at Shannon River Crest Hospital

Negotiated rates from the hospital’s own file: 8 payers, 18 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Humana medicare advantage facility · case rate · outpatient	$39	$39	—	—	—	$39 – $39
2	Molina managed medicaid facility · fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
3	Cigna ppo facility · case rate · outpatient	$62	$62	—	—	—	$62 – $62
4	Ambetter ppo facility · case rate · outpatient	$83	$83	—	—	—	$83 – $83
5	Bcbs Tx hmo facility · fee schedule · outpatient	$124	$124	—	—	—	$124 – $124
6	Bcbs Tx bav facility · fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
7	Bcbs Tx ppo facility · fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
8	Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges	$285	$285	—	—	—	$285 – $285
9	Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$285	$285	—	—	—	$285 – $285
10	Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges	$324	$324	—	—	—	$324 – $324
11	Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges	$324	$324	—	—	—	$324 – $324
12	Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges	$324	$324	—	—	—	$324 – $324
13	First Health ppo facility · percent of total billed charges · inpatientfrom % of charges	$324	$324	—	—	—	$324 – $324
14	First Health ppo facility · percent of total billed charges · outpatientfrom % of charges	$324	$324	—	—	—	$324 – $324
15	UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges	$337	$337	—	—	—	$337 – $337
16	UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges	$337	$337	—	—	—	$337 – $337
17	Humana ppo facility · percent of total billed charges · inpatientfrom % of charges	$346	$346	—	—	—	$346 – $346
18	Humana ppo facility · percent of total billed charges · outpatientfrom % of charges	$346	$346	—	—	—	$346 – $346

Last updated: Dec 8, 2025

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