Mercaptopurine 50 mg oral tablet

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

MERCAPTOPURINE 25 MG TAB (1/2 OF 50 MG)

Payers reporting HCPCS S0108

Payer pricing summary

Low

Average

$218

Median

$54

High

$3.5k

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +12 other terms	188	$6	$10	$11	111%	—	$3 – $199
2	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	166	$7	$8	$7	83%	—	$1 – $104
3	Aetna fee schedule · outpatient · +12 other terms	121	$6	$10	$26	272%	—	$2 – $324
4	Humana fee schedule · outpatient · +11 other terms	71	$9	$15	$9	63%	—	$3 – $32
5	Kaiser fee schedule · both · +4 other terms	43	$4	$4	$1	28%	—	$3 – $7
6	Anthem fee schedule · outpatient · +10 other terms	35	$3	$6	$3	60%	—	$3 – $29
7	UnitedHealthcare fee schedule · outpatient · +16 other terms	33	$4	$10	$11	111%	—	$1 – $42
8	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$10	$9	$3	33%	—	$4 – $16
9	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	28	$5	$5	$4	87%	—	$1 – $20
10	Highmark facility · fee schedule · outpatient · +7 other terms	14	$12	$14	$8	56%	—	$3 – $35
11	Wellmark fee schedule · outpatient · +3 other terms	14	$3	$3	$0	1%	—	$3 – $3
12	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$4	$5	$1	29%	—	$2 – $6
13	Bcbs Nj fee schedule · outpatient · +1 other terms	12	$3	$3	—	—	—	$3 – $3
14	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +1 other terms	10	$11	$19	$13	70%	—	$6 – $43
15	Medica fee schedule · outpatient · +9 other terms	10	$6	$6	$2	25%	—	$4 – $8
16	Ambetter percent of total billed charges · outpatientfrom % of charges · +2 other terms	9	$19	$32	$22	69%	—	$2 – $58
17	Medicaid fee schedule · outpatient · +3 other terms	9	$1	$9	$18	192%	—	$1 – $60
18	Ucare fee schedule · both · +1 other terms	9	$1	$1	$0	3%	—	$1 – $1
19	Aetna Better Health fee schedule · inpatient · +4 other terms	7	$3	$3	—	—	—	$3 – $3
20	Medcost percent of total billed charges · outpatientfrom % of charges · +2 other terms	7	$67	$62	$15	24%	—	$47 – $88
21	Bcbs La fee schedule · outpatient · +1 other terms	6	$6	$6	$0	3%	—	$5 – $6
22	Phcs percent of total billed charges · outpatientfrom % of charges · +3 other terms	6	$46	$54	$21	38%	—	$23 – $73
23	Excellus facility · fee schedule · outpatient	5	$8	$9	$8	87%	—	$3 – $29
24	Optum facility · fee schedule · outpatient · +3 other terms	5	$26	$21	$10	47%	—	$7 – $28
25	Devoted facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	4	$19	$19	$17	86%	—	$3 – $36

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