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
$3
Average
$76
Median
$20
High
$561
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
96 hospitals; the 90th percentile is 77.2× 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.
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132 hospital rates
iThe hospitals that file a Anthem 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 2 | Acadia Hospital Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $33 | $33 | — | — | — | $33 – $33 |
| 3 | Blue Hill Memorial Hospital Hill, ME facility · percent of total billed charges · inpatientfrom % of charges | 2 | $23 | $23 | — | — | — | $23 – $23 |
| 4 | Blue Hill Memorial Hospital Hill, ME facility · percent of total billed charges · outpatientfrom % of charges | 3 | $23 | $20 | $3 | 16% | — | $16 – $23 |
| 5 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $8 | $8 | — | — | — | $8 – $8 |
| 6 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $8 | $8 | — | — | — | $8 – $8 |
| 7 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 8 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 12 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | $0 | 2% | — | $23 – $24 |
| 13 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 2 | $8 | $8 | — | — | — | $8 – $8 |
| 14 | Children's Hospital of the King's Daughters Norfolk, VA facility · fee schedule · outpatient | 2 | $43 | $43 | — | — | — | $43 – $43 |
| 15 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 3 | $33 | $34 | $1 | 3% | — | $33 – $35 |
| 16 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 3 | $35 | $35 | — | — | — | $35 – $35 |
| 17 | Children's National Rehabilitation and Specialized Care Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 18 | Children's National Rehabilitation and Specialized Care Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 19 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 20 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 21 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 22 | DIGNITY HEALTH San Bernardino, CA fee schedule · inpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 23 | DIGNITY HEALTH San Bernardino, CA fee schedule · outpatient | 5 | $18 | $16 | $10 | 61% | — | $0 – $30 |
| 24 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 3 | $4 | $4 | $3 | 82% | — | $0 – $8 |
| 25 | Deaconess Health System Henderson Hospital Henderson, KY facility · fee schedule · outpatient | 4 | $13 | $13 | $1 | 8% | — | $11 – $14 |
← Payers reporting HCPCS J0573 · Snapshot 20261111T120946Z-9134e7f7