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
$6
Average
$2.4k
Median
$2.5k
High
$5.9k
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 606.9× 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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17 hospital rates
iThe hospitals that file a Carefirst 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 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 3 | $1.6k | $1.6k | $20 | 1% | — | $1.6k – $1.6k |
| 2 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 3 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 4 | Potomac Hospital Corporation of Prince William Lake Ridge, VA facility · fee schedule · outpatient | 2 | $6 | $6 | $0 | 7% | — | $6 – $6 |
| 5 | RESTON HOSPITAL CENTER Reston, VA fee schedule · outpatient | 2 | $7 | $7 | — | — | — | $7 – $7 |
| 6 | STONESPRINGS HOSPITAL CENTER Dulles, VA fee schedule · outpatient | 2 | $7 | $7 | — | — | — | $7 – $7 |
| 7 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 8 | Samaritan Hospital Troy, NY facility · fee schedule · both | 2 | $5 | $5 | — | — | — | $5 – $5 |
| 9 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 2 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 10 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 11 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 12 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 13 | St Joseph Mercy Oakland Pontiac, MI professional · fee schedule · both | 2 | $1.6k | $1.6k | $26 | 2% | — | $1.6k – $1.6k |
| 14 | St Josephs Hospital Health Center Syracuse, NY professional · fee schedule · both | 2 | $1.7k | $1.6k | $40 | 2% | — | $1.6k – $1.7k |
| 15 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 2 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 16 | University of Virginia Haymarket Medical Center Haymarket, VA fee schedule · both | 2 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 17 | University of Virginia Prince William Medical Center Manassas, VA fee schedule · both | 2 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
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