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
$49
Median
$16
High
$1.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
370 hospitals; the 90th percentile is 14.3× 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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459 hospital rates
iThe hospitals that file a Aetna 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 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 2 | $22 | $22 | — | — | — | $22 – $22 |
| 2 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 2 | $22 | $22 | — | — | — | $22 – $22 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $19 | $19 | $2 | 12% | — | $17 – $21 |
| 4 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 5 | Acadia Hospital Bangor, ME facility · percent of total billed charges · inpatientfrom % of charges | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 6 | Acadia Hospital Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $29 | $29 | $5 | 17% | — | $24 – $34 |
| 7 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 8 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 9 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 10 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 2 | $14 | $14 | $2 | 11% | — | $12 – $16 |
| 11 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 2 | $14 | $14 | $2 | 11% | — | $12 – $16 |
| 12 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 2 | $14 | $14 | $2 | 11% | — | $12 – $16 |
| 13 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 2 | $14 | $14 | $2 | 11% | — | $12 – $16 |
| 14 | AdventHealth Porter Denver, CO fee schedule · outpatient | 2 | $14 | $14 | $2 | 11% | — | $12 – $16 |
| 15 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $349 | $365 | $343 | 94% | — | $22 – $740 |
| 16 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $10 | $10 | $0 | 1% | — | $10 – $11 |
| 17 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $16 | $17 | $4 | 22% | — | $13 – $23 |
| 18 | Allina Health Systems Ulm, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $34 | $34 | $8 | 25% | — | $24 – $49 |
| 19 | Allina Health Systems Ulm, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $34 | $34 | $8 | 25% | — | $24 – $49 |
| 20 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $16 | $17 | $4 | 22% | — | $13 – $23 |
| 21 | Allina Health Systems Minneapolis, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $16 | $17 | $4 | 22% | — | $13 – $23 |
| 22 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $19 | $19 | — | — | — | $19 – $19 |
| 23 | Astera Health Wadena, MN percent of total billed charges · inpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 24 | Astera Health Wadena, MN percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 25 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 5 | $85 | $130 | $133 | 103% | — | $6 – $406 |
← Payers reporting HCPCS J0573 · Snapshot 20261111T120946Z-9134e7f7