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
METHYLNALTREXONE 12 MG/0.6 ML SUBQ INJECTION WRAPPER [408491651]
Low
$1
Average
$838
Median
$124
High
$8.3k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
89 hospitals; the 90th percentile is 422.8× 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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90 hospital rates
iThe hospitals that file a Tricare 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 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 3 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $896 | $896 | — | — | — | $896 – $896 |
| 4 | Bullhead City Hospital Corporation City, AZ facility · fee schedule · outpatient | 1 | $15 | $15 | $2 | 10% | — | $13 – $17 |
| 5 | CLEVELAND AREA HOSPITAL CLEVELAND, OK percent of total billed charges · bothfrom % of charges | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 6 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 7 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $5 | $5 | $1 | 24% | — | $4 – $6 |
| 8 | Carlsbad Medical Center LLC Carlsbad, NM facility · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 9 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 10 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $249 | $249 | — | — | — | $249 – $249 |
| 11 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 12 | Cocke County HMA, LLC Newport, TN facility · fee schedule · outpatient | 1 | $4 | $5 | $1 | 25% | — | $4 – $6 |
| 13 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $245 | $245 | — | — | — | $245 – $245 |
| 14 | Crestview Hospital Corporation Crestview, FL facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 15 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 1 | $4 | $5 | $1 | 27% | — | $4 – $7 |
| 16 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $783 | $783 | $0 | 0% | — | $783 – $783 |
| 17 | Foley Hospital Company LLC Foley, AL facility · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 18 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 19 | Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 20 | Glenwood Regional Medical Center - HSA West Monroe, LA facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 22 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $646 | $646 | $549 | 85% | — | $97 – $1.2k |
| 23 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $646 | $646 | $549 | 85% | — | $97 – $1.2k |
| 24 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 25 | Hemet Global Medical Center Hemet, CA facility · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
← Payers reporting HCPCS J2212 · Snapshot 20261111T120946Z-9134e7f7