Take-home naloxone nasal spray supply

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

THP Naloxone 4mg/4mL 4 mg Soln

Payers reporting HCPCS G1028

Payer pricing summary

Low

Average

$153

Median

$128

High

$453

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	74	$0	$0	$0	111%	—	$0 – $1
2	Bcbs Tx fee schedule · outpatient	30	$0	$0	$0	43%	—	$0 – $0
3	Aetna fee schedule · outpatient · +6 other terms	29	$230	$298	$194	65%	—	$102 – $907
4	Anthem facility · case rate · outpatient · +2 other terms	15	$9	$10	$2	23%	—	$6 – $15
5	Caresource facility · case rate · outpatient · +1 other terms	15	$9	$10	$2	23%	—	$6 – $15
6	Molina facility · case rate · outpatient · +3 other terms	15	$9	$10	$2	23%	—	$6 – $15
7	UnitedHealthcare facility · case rate · outpatient · +3 other terms	15	$9	$10	$2	23%	—	$6 – $15
8	Humana fee schedule · outpatient · +5 other terms	12	$368	$298	$144	48%	—	$128 – $485
9	Optum facility · case rate · outpatient	11	$8	$9	$2	22%	—	$7 – $13
10	Cigna fee schedule · outpatient · +3 other terms	8	$180	$220	$76	35%	—	$180 – $391
11	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$131	$131	—	—	—	$131 – $131
12	Excellus facility · fee schedule · outpatient	5	$207	$233	$140	60%	—	$133 – $596
13	First Health professional · fee schedule · both · +1 other terms	3	$140	$140	—	—	—	$140 – $140
14	Sanford Health Plan fee schedule · outpatient · +1 other terms	3	$128	$128	—	—	—	$128 – $128
15	WellCare fee schedule · both	3	$156	$154	$3	2%	—	$150 – $156
16	Ambetter fee schedule · both · +1 other terms	1	$128	$128	—	—	—	$128 – $128
17	Bcbs Id facility · fee schedule · outpatient · +1 other terms	1	$77	$77	—	—	—	$77 – $77
18	Bcbs Vt professional · fee schedule · outpatient	1	$128	$128	—	—	—	$128 – $128
19	Healthpartners facility · fee schedule · outpatient	1	$453	$453	—	—	—	$453 – $453
20	MultiPlan facility · percent of total billed charges · bothfrom % of charges	1	$309	$309	—	—	—	$309 – $309
21	Premera facility · percent of total billed charges · bothfrom % of charges	1	$306	$306	—	—	—	$306 – $306
22	Regence facility · percent of total billed charges · bothfrom % of charges	1	$201	$201	$85	42%	—	$116 – $286
23	Tricare facility · percent of total billed charges · bothfrom % of charges	1	$116	$116	—	—	—	$116 – $116