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HCPCS J0572

BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL SUBL

Reported by 21 hospitals in the network under the case rate methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$14

Average

$4.2k

Median

$632

High

$15k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$1$14$14$14—
2Trinity Medical CenterRock Island, IL$0$14$14$14—
3Unity HealthcareMuscatine, IA$1$14$14$14—
4Hca Florida Memorial HospitalJACKSONVILLE, FL$3$15k$15k$15k—
5Hca Florida North Florida HospitalNEWBERRY, FL$2$15k$15k$15k—
6Hca Florida West HospitalPENSACOLA, FL$0$15k$15k$15k—
7Hca Florida Jfk North HospitalWest Palm Beach, FL$5$550$550$550—
8Hca Florida Capital HospitalTALLAHASSEE, FL$2$15k$15k$15k—
9Hca Florida Jfk HospitalPALM BEACH GARDENS, FL$5$550$550$550—
10Hca Florida Lake City HospitalLIVE OAK, FL$1$15k$15k$15k—
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