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 HCL 10 MG OR TABS [43377]
Gary, IN
See all hospitals reporting HCPCS S0109 →Price type
The Methodist Hospitals, Inc.’s median price of $5 is 745% above the median hospital's median price ($1), higher than 84% 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: 7 payers, 13 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 | Aetna hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Ambetter ambetter healthplan facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Anthem individual on exchange facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Anthem pathway essentials facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Anthem traditonal,hmo,ppo contracted plans and individual off exchange facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 6 | UnitedHealthcare hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 7 | UnitedHealthcare navigate and core payer facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $3 | $3 | $0 | 9% | — | $3 – $3 |
| 9 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $4 | $3 | $0 | 9% | — | $3 – $4 |
| 10 | Aetna firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $5 | $5 | $0 | 9% | — | $4 – $5 |
| 11 | Phcs ppo facility · percent of total billed charges · outpatientfrom % of charges | $6 | $5 | $0 | 9% | — | $5 – $6 |
| 12 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $6 | $6 | $1 | 9% | — | $5 – $6 |
| 13 | Aetna coventry facility · percent of total billed charges · outpatientfrom % of charges | $6 | $6 | $1 | 9% | — | $5 – $6 |
Last updated: Aug 18, 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.