HCPCS 00025006131 Prescription Drug - Brand

How Much Does Lomotil 2.5-0.025 Mg Tablet Cost?

Also known as: LOMOTIL 2.5-0.025 MG TABLET (CPT 00025006131)

Lomotil 2.5-0.025 Mg Tablet (CPT 00025006131) costs $3 at Medicare rates.

Medicare (Facility)
$3
CMS PFS 2026 national rate

Procedures Commonly Done Together

These procedures are frequently performed alongside LOMOTIL 2.5-0.025 MG TABLET

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How to Reduce Your Cost for LOMOTIL 2.5-0.025 MG TABLET

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

Frequently Asked Questions

How much does LOMOTIL 2.5-0.025 MG TABLET cost?

The Medicare facility rate for LOMOTIL 2.5-0.025 MG TABLET is $3. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does LOMOTIL 2.5-0.025 MG TABLET cost without insurance?

Without insurance, the cost of LOMOTIL 2.5-0.025 MG TABLET can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover LOMOTIL 2.5-0.025 MG TABLET?

Most commercial health insurance plans and Medicare cover LOMOTIL 2.5-0.025 MG TABLET when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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