Mifepristone 200 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

Mifepristone, Oral, 200 Mg

Payers reporting HCPCS S0190

Payer pricing summary

Low

$37

Average

$121

Median

$99

High

$408

Payer rate distribution

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#
1	Anthem facility · fee schedule · outpatient · +13 other terms	46	$73	$104	$60	58%	1–10	$35 – $286
2	Cigna fee schedule · outpatient · +16 other terms	190	$68	$143	$237	165%	—	$30 – $1.5k
3	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	170	$162	$224	$350	156%	—	$1 – $4.5k
4	Aetna fee schedule · outpatient · +19 other terms	110	$73	$100	$90	89%	—	$29 – $912
5	Humana fee schedule · outpatient · +14 other terms	76	$203	$315	$210	67%	—	$34 – $595
6	UnitedHealthcare fee schedule · outpatient · +21 other terms	70	$61	$71	$31	44%	—	$13 – $145
7	Kaiser fee schedule · both · +5 other terms	43	$93	$89	$24	27%	—	$64 – $128
8	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$288	$261	$87	33%	—	$107 – $452
9	Molina facility · case rate · outpatient · +17 other terms	28	$121	$110	$40	37%	—	$56 – $218
10	Caresource facility · case rate · outpatient · +4 other terms	16	$129	$130	$41	32%	—	$53 – $222
11	Medica fee schedule · outpatient · +10 other terms	16	$85	$82	$39	47%	—	$6 – $155
12	Wellmark fee schedule · outpatient · +7 other terms	16	$43	$43	—	—	—	$43 – $43
13	Aetna Better Health fee schedule · outpatient · +5 other terms	13	$35	$51	$17	34%	—	$35 – $70
14	Optum facility · case rate · outpatient · +7 other terms	13	$116	$122	$37	31%	—	$62 – $197
15	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$86	$78	$26	33%	—	$44 – $107
16	Bcbs Nj fee schedule · outpatient · +3 other terms	12	$36	$36	—	—	—	$36 – $36
17	Bcbs Nc fee schedule · both · +1 other terms	11	$56	$56	—	—	—	$56 – $56
18	Highmark fee schedule · outpatient · +7 other terms	11	$40	$44	$26	59%	—	$37 – $294
19	Ucare fee schedule · both · +4 other terms	9	$75	$75	$2	3%	—	$73 – $78
20	Tricare facility · fee schedule · outpatient · +2 other terms	8	$207	$198	$71	36%	—	$129 – $285
21	Amerihealth Caritas facility · case rate · outpatient · +4 other terms	7	$72	$73	$3	4%	—	$72 – $78
22	Bcbs La fee schedule · outpatient · +1 other terms	6	$48	$46	$5	10%	—	$32 – $48
23	Medicaid facility · fee schedule · outpatient · +5 other terms	6	$101	$155	$79	51%	—	$76 – $254
24	Ambetter case rate · outpatient · +4 other terms	5	$10	$10	—	—	—	$10 – $10
25	Clover case rate · outpatient · +1 other terms	5	$10	$10	—	—	—	$10 – $10

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