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
ED NALOXONE 4MG/0.1 ML NASAL SPRAY [408420265]
Low
$57
Average
$110
Median
$99
High
$197
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 3.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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32 hospital rates
iThe hospitals that file a Cigna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $197 | $197 | — | — | — | $197 – $197 |
| 2 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $87 | $78 | $24 | 31% | — | $38 – $100 |
| 3 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 4 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 3 | $63 | $64 | $2 | 4% | — | $62 – $67 |
| 5 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $74 | $74 | $6 | 9% | — | $68 – $81 |
| 6 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $156 | $156 | $14 | 9% | — | $142 – $169 |
| 7 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 8 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · fee schedule · outpatient | 3 | $90 | $86 | $9 | 10% | — | $75 – $94 |
| 9 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · fee schedule · outpatient | 3 | $78 | $81 | $18 | 23% | — | $59 – $104 |
| 10 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 11 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 12 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 13 | MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 14 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 15 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · bothfrom % of charges | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 16 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA percent of total billed charges · bothfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 17 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 2 | $63 | $63 | — | — | — | $63 – $63 |
| 18 | Tacoma General Allenmore Hospital Bremerton, WA fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 19 | ThedaCare Regional Medical Center-Berlin Inc WI 54971-9286; N2930 State Rd 22 Wautoma, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 20 | Thedacare Regional Medical Center-Appleton Inc WI 54911; W5282 Amy Ave. Appleton WI 54911-7233; 2500 E Capital Dr. Appleton, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 21 | Thedacare Regional Medical Center-Appleton Inc Fond Du Lac, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 22 | Thedacare Regional Medical Center-Appleton Inc Oshkosh, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 23 | Thedacare Regional Medical Center-Appleton Inc. Appleton, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 24 | Thedacare Regional Medical Center-Neenah Inc WI 54904-6926; 2400 Witzel Ave. Suite C Oshkosh, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 25 | Thedacare Regional Medical Center-New London Inc WI 54961; 370 S. Main St. Clintonville, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $161 | $161 | — | — | — | $161 – $161 |
← Payers reporting HCPCS G2215 · Snapshot 20261111T120946Z-9134e7f7