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
$0
Average
$1.6k
Median
$4
High
$9.4k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
81 hospitals; the 90th percentile is 1711.1× 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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88 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 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 2 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Boston Medical Center Boston, MA other · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 5 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 6 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $810 | $4.5k | $6.9k | 153% | — | $4 – $16.4k |
| 7 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 8 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 9 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 10 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 11 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 12 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.7k | $1.0k | 62% | — | $634 – $2.7k |
| 13 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | Eisenhower Medical Center Rancho Mirage, CA other · both | 3 | $4 | $4 | — | — | — | $4 – $4 |
| 15 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 16 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 17 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 18 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 21 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 1 | $339 | $339 | — | — | — | $339 – $339 |
| 22 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 23 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 24 | Hackettstown Medical Center Hackettstown, NJ other · both | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 25 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $4 | $4 | — | — | — | $4 – $4 |
← Payers reporting HCPCS J2315 · Snapshot 20261111T120946Z-9134e7f7