How much does Neostigmine Methylsulfate Injection cost?

$1.35per 0.5 mg

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1.35 for each 0.5 mg of this drug. The price depends on where it is billed: about $0.71 from a physician practice, and about $2.24 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 0.5 mg. Enter the amount given to see what insurers have agreed to pay for it.

Amount givenmg

In a doctor's office or clinic: $0.71
At a hospital outpatient department: $2.24

The same drug, in the same amount, costs 216% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$0.71	$0.71 to $0.71
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$2.24	$0.83 to $6.92

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $13Professionalmedian $1 · 10th to 90th $1 to $1

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $0.71 Median $2.24 Typical High $12.59	Facility	Global	$0.71	$2.24	$12.59
Aetna Setting Professional Modifier Global Typical Low $0.71 Median $0.71 Typical High $0.83	Professional	Global	$0.71	$0.71	$0.83
Cigna Setting Facility Modifier Global Typical Low $0.71 Median $0.89 Typical High $85.11	Facility	Global	$0.71	$0.89	$85.11
Cigna Setting Professional Modifier Global Typical Low $0.71 Median $0.71 Typical High $3.80	Professional	Global	$0.71	$0.71	$3.80
Highmark BCBS Setting Facility Modifier Global Typical Low $0.35 Median $2.04 Typical High $77.62	Facility	Global	$0.35	$2.04	$77.62
United Setting Facility Modifier Global Typical Low $2.34 Median $2.34 Typical High $2.34	Facility	Global	$2.34	$2.34	$2.34
United Setting Professional Modifier Global Typical Low $0.68 Median $0.71 Typical High $1.20	Professional	Global	$0.68	$0.71	$1.20

Where West Virginia sits

The same service costs 151.4 times more in Utah than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $1.35 · 16th of 51

UT $15.14HI $0.10

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.