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
MIFEPRISTONE 200 MG ORAL TAB [28975]
Low
$0
Average
$177
Median
$84
High
$1.2k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 28 hospitals; the 90th percentile is 380.0× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA | $62 | $64 | $7 | 11% | 1–10 | $15 – $98 |
| 2 | Berkshire Medical Center Pittsfield, MA | $139 | $158 | $33 | 21% | 1–10 | $37 – $347 |
| 3 | Castle Medical Center Kailua, HI | $361 | $361 | — | — | — | $51 – $361 |
| 4 | The Cleveland Clinic Foundation Cleveland, OH | $1 | $1 | — | — | — | $1 – $135 |
| 5 | The Union Hospital Association Dover, OH | $1 | $1 | — | — | — | $1 – $79 |
| 6 | Akron General Medical Center Akron, OH | $1 | $1 | — | — | — | $1 – $79 |
| 7 | Cleveland Clinic Mercy Hospital Canton, OH | $1 | $1 | — | — | — | $1 – $79 |
| 8 | Nebraska Medical Center Omaha, NE | $578 | $552 | $286 | 52% | — | $84 – $1.5k |
| 9 | Bellevue Medical Center Llc Bellevue, NE | $578 | $552 | $286 | 52% | — | $84 – $1.5k |
| 10 | University of Florida Health Gainesville, FL | $78 | $78 | — | — | — | $78 – $78 |
Ask Claude or any MCP client for HCPCS S0190 pricing at a specific hospital — see how to connect.