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
Glendale, CA
See all hospitals reporting HCPCS S0109 →Price type
Glendale Adventist Medical Center’s median price of $10 is 1609% above the median hospital's median price ($1), higher than 90% of the 921 hospitals reporting HCPCS S0109. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges | $8 | $8 | $4 | 54% | — | $4 – $12 |
| 5 | UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges | $8 | $8 | $4 | 54% | — | $4 – $13 |
| 6 | UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges | $9 | $9 | $5 | 54% | — | $4 – $13 |
| 7 | UnitedHealthcare uhc hmo percent of total billed charges · outpatientfrom % of charges | $9 | $9 | $5 | 54% | — | $4 – $13 |
| 8 | Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges | $9 | $9 | $5 | 54% | — | $4 – $14 |
| 9 | Cigna cigna all other - all other plans percent of total billed charges · outpatientfrom % of charges | $10 | $10 | $5 | 54% | — | $5 – $15 |
| 10 | Cigna cigna hmo percent of total billed charges · outpatientfrom % of charges | $10 | $10 | $5 | 54% | — | $5 – $15 |
| 11 | Optum optum health - all other plans percent of total billed charges · outpatientfrom % of charges | $10 | $10 | $6 | 54% | — | $5 – $16 |
| 12 | Optum optum health mcr adv percent of total billed charges · outpatientfrom % of charges | $10 | $10 | $6 | 54% | — | $5 – $16 |
| 13 | First Health first health- all plans percent of total billed charges · outpatientfrom % of charges | $12 | $12 | $7 | 54% | — | $6 – $19 |
| 14 | Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges | $14 | $14 | $8 | 54% | — | $6 – $21 |
| 15 | Kaiser kaiser - all plans percent of total billed charges · outpatientfrom % of charges | $18 | $18 | $10 | 54% | 2–20 | $8 – $28 |
| 16 | Medicaid medi-cal fee schedule · outpatient | $21 | $21 | $12 | 54% | — | $10 – $33 |
| 17 | Molina molina mcal fee schedule · outpatient | $21 | $21 | $12 | 54% | — | $10 – $33 |
| 18 | Aetna aetna - all plans fee schedule · outpatient | $50 | $50 | $27 | 54% | — | $23 – $77 |
| 19 | Blue Cross Blue Shield blue shield medi-cal fee schedule · outpatient | $54 | $54 | $29 | 54% | — | $25 – $83 |
Last updated: Jul 30, 2026
See Methadone 10 mg oral tablet pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.