go back

Methotrexate, Oral

South Dakota rates for HCPCS J8610 · Trexall

Methotrexate, oral, 2.5 mg

Rates data updated July 2026.

How much does Methotrexate, Oral cost?

$0.15per 2.5 mg

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $0.15 for each 2.5 mg of this drug. The price depends on where it is billed: about $0.15 from a physician practice, and about $0.20 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 2.5 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$0.15
At a hospital outpatient department
$0.20

The same drug, in the same amount, costs 32% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.15$0.14 to $0.19
FacilityA hospital or hospital-owned outpatient department$0.20$0.15 to $0.34

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $0
$0.1$1$10$100facility $0professional $0

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.14
Median
$0.14
Typical High
$0.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.14
Median
$0.14
Typical High
$0.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.15
Median
$0.15
Typical High
$0.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.20
Median
$0.34
Typical High
$2.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.20
Median
$0.20
Typical High
$223.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$0.23
Median
$0.24
Typical High
$0.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$0.26
Median
$0.26
Typical High
$0.26
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$0.15
Median
$0.15
Typical High
$0.15
United
Setting
Professional
Modifier
Global
Typical Low
$0.15
Median
$0.15
Typical High
$0.24
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$0.15
Median
$0.15
Typical High
$0.15
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$0.15
Median
$0.15
Typical High
$0.15

Where South Dakota sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 17th of 51

$0.15

IA $0.17DE $0.14

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.