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
BUPRENORPHINE HCL-NALOXONE HCL 4-1 MG SL FILM
Low
$0
Average
$178
Median
$14
High
$3.5k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 22 hospitals; the 90th percentile is 12.2× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Fairview Health Services Edina, MN | $7 | $8 | $1 | 17% | 70–700 | $5 – $47 |
| 2 | Fairview Health Services Minneapolis, MN | $11 | $15 | $8 | 58% | 68–680 | $5 – $47 |
| 3 | HealthEast St John's Hospital Maplewood, MN | $11 | $14 | $6 | 40% | 58–580 | $5 – $47 |
| 4 | Fairview Health Services Princeton, MN | $14 | $20 | $8 | 41% | 33–330 | $5 – $51 |
| 5 | Fairview Health Services Wyoming, MN | $7 | $7 | — | — | 21–210 | $5 – $51 |
| 6 | Fairview Health Services Burnsville, MN | $7 | $7 | — | — | 12–120 | $5 – $47 |
| 7 | HealthEast Woodwinds Hospital Woodbury, MN | $6 | $6 | — | — | 12–120 | $5 – $47 |
| 8 | Range Regional Health Services Hibbing, MN | $5 | $5 | — | — | 6–60 | $5 – $52 |
| 9 | Grand Itasca Clinic and Hospital Grand Rapids, MN | $5 | $5 | — | — | 6–60 | $5 – $52 |
| 10 | USC Arcadia Hospital Arcadia, CA | $15 | $13 | $4 | 32% | 1–10 | $5 – $28 |
Ask Claude or any MCP client for HCPCS J0573 pricing at a specific hospital — see how to connect.