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 10 MG/ML ORAL CONCENTRATE
Perryville, MO
See all hospitals reporting HCPCS S0109 →Price type
Mercy Perry’s median price of $4 is 633% above the median hospital's median price ($1), higher than 82% of the 918 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: 16 payers, 29 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 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1 | $8 | $10 | 128% | — | $1 – $22 |
| 2 | Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $1 | $10 | $13 | 128% | — | $1 – $29 |
| 3 | Medicaid hb pcmh mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1 | $10 | $13 | 128% | — | $1 – $29 |
| 4 | UnitedHealthcare hb pcmh uhc managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1 | $10 | $13 | 128% | — | $1 – $29 |
| 5 | Optum hb pcmh uhc all payer exchange facility · fee schedule · outpatient | $4 | $12 | $13 | 114% | — | $1 – $30 |
| 6 | UnitedHealthcare hb pcmh uhc all payer exchange facility · fee schedule · outpatient | $4 | $12 | $13 | 114% | — | $1 – $30 |
| 7 | UnitedHealthcare hb pcmh uhc core facility · fee schedule · outpatient | $4 | $12 | $13 | 114% | — | $1 – $30 |
| 8 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $2 | $16 | $20 | 128% | — | $2 – $45 |
| 9 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $2 | $16 | $20 | 128% | — | $2 – $45 |
| 10 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $2 | $16 | $20 | 128% | — | $2 – $45 |
| 11 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $2 | $16 | $20 | 128% | — | $2 – $45 |
| 12 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $2 | $16 | $20 | 128% | — | $2 – $45 |
| 13 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $2 | $16 | $20 | 128% | — | $2 – $45 |
| 14 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $2 | $16 | $21 | 128% | — | $2 – $46 |
| 15 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $2 | $17 | $21 | 128% | — | $2 – $46 |
| 16 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $2 | $17 | $21 | 128% | — | $2 – $47 |
| 17 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $2 | $19 | $24 | 128% | — | $2 – $53 |
| 18 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $2 | $22 | $28 | 128% | — | $2 – $62 |
| 19 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $2 | $25 | $32 | 128% | — | $2 – $70 |
| 20 | Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges | $2 | $25 | $32 | 128% | — | $2 – $70 |
| 21 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $3 | $32 | $42 | 128% | — | $3 – $91 |
| 22 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $3 | $32 | $42 | 128% | — | $3 – $91 |
| 23 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $3 | $34 | $44 | 128% | — | $3 – $96 |
| 24 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $3 | $34 | $44 | 128% | — | $3 – $96 |
| 25 | Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $4 | $37 | $47 | 128% | — | $4 – $103 |
Last updated: Mar 12, 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.