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.
Original text from hospital filings
METHADONE, ORAL, 5 MG
Low
$0
Average
$11
Median
$1
High
$113
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
42 hospitals; the 90th percentile is 81.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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53 hospital rates
iThe hospitals that file a Medicaid rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 3 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $13 | $13 | $7 | 57% | — | $5 – $20 |
| 4 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $8 | $40 | $58 | 145% | — | $4 – $139 |
| 5 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $21 | $21 | $12 | 54% | — | $10 – $33 |
| 6 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $16 | $45 | $55 | 123% | — | $8 – $139 |
| 7 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $31 | $113 | $153 | 136% | — | $12 – $376 |
| 9 | Mercy Hospital Columbus Columbus, KS facility · fee schedule · outpatient | 2 | $0 | $0 | $0 | 60% | — | $0 – $1 |
| 10 | Mercy Hospital Columbus Columbus, KS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Mercy Hospital Ada Inc Ada, OK facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Mercy Hospital Ardmore Inc Ardmore, OK facility · fee schedule · outpatient | 1 | $0 | $0 | $0 | 33% | — | $0 – $1 |
| 13 | Mercy Hospital Berryville Berryville, AR facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Mercy Hospital Carthage Carthage, MO facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Mercy Hospital Carthage Carthage, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 1 | $0 | $0 | $0 | 35% | — | $0 – $1 |
| 18 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 1 | $0 | $0 | $0 | 35% | — | $0 – $1 |
| 20 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Mercy Hospital Healdton Inc Healdton, OK facility · fee schedule · outpatient | 1 | $0 | $0 | $0 | 33% | — | $0 – $1 |
| 22 | Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $0 | 15% | — | $1 – $1 |
| 23 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · fee schedule · outpatient | 1 | $1 | $1 | $0 | 28% | — | $0 – $1 |
| 24 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $0 | 25% | — | $1 – $2 |
| 25 | Mercy Hospital Kingfisher, Inc Kingfisher, OK facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS S0109 · Snapshot 20261111T120946Z-9134e7f7