Methadone 10 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

METHADONE, ORAL, 5 MG

Payers reporting HCPCS S0109

Payer pricing summary

Low

Average

$14

Median

$10

High

$52

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +14 other terms	185	$1	$1	$2	219%	—	$0 – $47
2	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	172	$0	$1	$7	612%	—	$0 – $90
3	Aetna fee schedule · outpatient · +15 other terms	108	$1	$2	$9	393%	—	$0 – $83
4	Humana fee schedule · outpatient · +14 other terms	61	$2	$2	$1	68%	—	$0 – $3
5	Anthem facility · fee schedule · outpatient · +12 other terms	44	$1	$1	$3	256%	—	$0 – $19
6	Kaiser fee schedule · both · +5 other terms	41	$1	$0	$0	26%	—	$0 – $1
7	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	37	$1	$1	$1	116%	—	$0 – $9
8	UnitedHealthcare fee schedule · outpatient · +16 other terms	37	$0	$2	$7	307%	—	$0 – $30
9	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +1 other terms	27	$6	$14	$20	141%	—	$0 – $109
10	Phcs percent of total billed charges · outpatientfrom % of charges · +4 other terms	27	$24	$29	$34	119%	—	$0 – $156
11	Medicaid facility · fee schedule · outpatient · +3 other terms	20	$0	$1	$0	87%	—	$0 – $3
12	Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	18	$31	$37	$38	103%	—	$0 – $195
13	Bcbs Tx fee schedule · outpatient · +2 other terms	17	$0	$0	$0	29%	—	$0 – $0
14	Highmark facility · fee schedule · outpatient · +6 other terms	17	$1	$1	$0	54%	—	$0 – $2
15	Devoted facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	16	$2	$8	$11	144%	—	$1 – $47
16	Caresource facility · case rate · outpatient · +5 other terms	15	$48	$52	$12	23%	—	$32 – $82
17	Molina facility · case rate · outpatient · +9 other terms	15	$47	$52	$12	23%	—	$33 – $80
18	Aetna Better Health fee schedule · outpatient · +7 other terms	14	$0	$0	$0	72%	—	$0 – $0
19	Wellmark fee schedule · outpatient · +5 other terms	14	$0	$0	—	—	—	$0 – $0
20	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$0	$0	$0	31%	—	$0 – $1
21	Bcbs Nj fee schedule · outpatient · +1 other terms	12	$0	$0	—	—	—	$0 – $0
22	Optum facility · case rate · outpatient · +4 other terms	11	$45	$49	$11	22%	—	$40 – $73
23	Bcbs La fee schedule · outpatient · +3 other terms	10	$0	$0	$0	3%	—	$0 – $0
24	Medcost percent of total billed charges · outpatientfrom % of charges · +3 other terms	10	$7	$18	$31	174%	—	$0 – $200
25	Medica fee schedule · outpatient · +9 other terms	10	$1	$1	$0	25%	—	$0 – $1

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