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
HC Fac Naltrexone, Depot Form
Low
$2
Average
$1.1k
Median
$806
High
$5.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 585.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +29 other terms | 642 | $6 | $137 | $687 | 503% | 26 | $1 – $7.6k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +29 other terms | 378 | $6 | $193 | $1.1k | 575% | 1–10 | $0 – $20.8k |
| 3 | Kaiser fee schedule · outpatient · +18 other terms | 69 | $6 | $139 | $675 | 486% | 1–10 | $3 – $4.2k |
| 4 | Aetna fee schedule · outpatient · +27 other terms | 417 | $5 | $174 | $2.1k | 1210% | — | $1 – $54.7k |
| 5 | Cigna fee schedule · outpatient · +23 other terms | 371 | $6 | $118 | $525 | 446% | — | $1 – $5.0k |
| 6 | Humana fee schedule · outpatient · +25 other terms | 371 | $4 | $73 | $429 | 586% | — | $1 – $4.7k |
| 7 | Molina fee schedule · outpatient · +27 other terms | 140 | $6 | $145 | $484 | 335% | — | $1 – $3.7k |
| 8 | WellCare fee schedule · outpatient · +19 other terms | 140 | $4 | $50 | $224 | 445% | — | $4 – $1.2k |
| 9 | Anthem fee schedule · outpatient · +25 other terms | 129 | $6 | $130 | $687 | 528% | — | $0 – $4.3k |
| 10 | Caresource fee schedule · outpatient · +17 other terms | 84 | $5 | $5 | $1 | 19% | — | $1 – $8 |
| 11 | Devoted fee schedule · outpatient · +13 other terms | 68 | $4 | $71 | $463 | 651% | — | $4 – $4.0k |
| 12 | Ambetter fee schedule · outpatient · +17 other terms | 63 | $8 | $157 | $788 | 501% | — | $3 – $4.9k |
| 13 | Medica fee schedule · outpatient · +20 other terms | 45 | $1.0k | $656 | $1.8k | 267% | — | $0 – $7.4k |
| 14 | MultiPlan fee schedule · outpatient · +16 other terms | 39 | $1.4k | $2.2k | $2.9k | 132% | — | $4 – $7.6k |
| 15 | Optum fee schedule · outpatient · +22 other terms | 39 | $4 | $5 | $2 | 39% | — | $1 – $12 |
| 16 | Medicare fee schedule · outpatient · +15 other terms | 35 | $4 | $4 | $0 | 7% | — | $1 – $5 |
| 17 | Oscar facility · fee schedule · outpatient · +18 other terms | 34 | $6 | $6 | $1 | 17% | — | $4 – $8 |
| 18 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $13 | $12 | $5 | 43% | — | $4 – $22 |
| 19 | Clover fee schedule · outpatient · +7 other terms | 29 | $5 | $4 | $0 | 6% | — | $4 – $5 |
| 20 | Highmark facility · fee schedule · outpatient · +17 other terms | 29 | $5 | $9 | $7 | 77% | — | $4 – $33 |
| 21 | Aetna Better Health fee schedule · outpatient · +15 other terms | 23 | $4 | $4 | $0 | 4% | — | $4 – $5 |
| 22 | Sanford Health Plan fee schedule · outpatient · +12 other terms | 23 | $5 | $732 | $1.7k | 235% | — | $4 – $5.6k |
| 23 | Wellmark fee schedule · outpatient · +14 other terms | 22 | $4 | $4 | $0 | 1% | — | $4 – $4 |
| 24 | Medical Mutual facility · fee schedule · outpatient · +14 other terms | 21 | $8 | $9 | $4 | 47% | — | $2 – $18 |
| 25 | Regence fee schedule · outpatient · +18 other terms | 21 | $7 | $254 | $970 | 382% | — | $3 – $5.1k |
← Hospitals reporting HCPCS J2315 · Snapshot 20261111T120946Z-9134e7f7