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 12 MG-NALOXONE 3 MG SUBLINGUAL FILM
Low
$0
Average
$35
Median
$25
High
$791
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
228 hospitals; the 90th percentile is 3.3× 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.
Filter by billing methodology
Filter by billing class
238 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $62 | $80 | $29 | 37% | — | $51 – $116 |
| 2 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $18 | $18 | — | — | — | $18 – $18 |
| 3 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 4 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $42 | $42 | $3 | 7% | — | $39 – $45 |
| 5 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $42 | $42 | $3 | 7% | — | $39 – $45 |
| 6 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $18 | $18 | $2 | 9% | — | $16 – $21 |
| 7 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | $2 | 9% | — | $17 – $21 |
| 8 | Allina Health Systems Minneapolis, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | $2 | 9% | — | $17 – $21 |
| 9 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 4 | $23 | $21 | $4 | 18% | — | $15 – $24 |
| 10 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 4 | $22 | $20 | $3 | 16% | — | $15 – $22 |
| 11 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 12 | Beth Israel Deaconess Hospital - Needham Needham, MA fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 13 | Beth Israel Deaconess Hospital - Plymouth Plymouth, MA fee schedule · outpatient | 2 | $18 | $18 | — | — | — | $18 – $18 |
| 14 | Beth Israel Deaconess Hospital-Milton Inc Milton, MA fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 15 | Beth Israel Deaconess Medical Center Boston, MA fee schedule · outpatient | 2 | $18 | $18 | — | — | — | $18 – $18 |
| 16 | Billings Clinic Billings, MT fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 17 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 18 | Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient | 3 | $15 | $16 | $1 | 5% | — | $15 – $17 |
| 19 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · outpatient | 3 | $660 | $660 | $651 | 99% | — | $9 – $1.3k |
| 20 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · inpatient | 3 | $95 | $81 | $21 | 26% | — | $51 – $95 |
| 21 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $95 | $81 | $21 | 26% | — | $51 – $95 |
| 22 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · percent of total billed charges · inpatientfrom % of charges | 3 | $10 | $12 | $4 | 32% | — | $10 – $18 |
| 23 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $21 | $27 | $9 | 32% | — | $21 – $40 |
| 24 | Conway Hospital, Inc. Conway, SC facility · fee schedule · outpatient | 2 | $20 | $20 | $4 | 20% | — | $16 – $24 |
| 25 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 4 | $38 | $38 | $0 | 0% | — | $38 – $38 |
← Payers reporting HCPCS J0575 · Snapshot 20261111T120946Z-9134e7f7