NDC 12496-1204-03
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 HCL-NALOXONE HCL 4-1 MG SL FILM
Based on 33–330 billing samples across every hospital reporting.
Low
$0
Average
$246
Median
$26
High
$8.5k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 92 hospitals; the 90th percentile is 56.5× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Fairview Health Services Edina, MN | $28 | $25 | $13 | 52% | 8–80 | $7 – $47 |
| 2 | Fairview Health Services Minneapolis, MN | $28 | $27 | $12 | 45% | 7–70 | $7 – $47 |
| 3 | HealthEast St John's Hospital Maplewood, MN | $28 | $26 | $12 | 47% | 7–70 | $7 – $47 |
| 4 | Fairview Health Services Princeton, MN | $28 | $28 | $13 | 45% | 4–40 | $7 – $51 |
| 5 | Fairview Health Services Wyoming, MN | $28 | $28 | $13 | 48% | 2–20 | $7 – $51 |
| 6 | HealthEast Woodwinds Hospital Woodbury, MN | $29 | $27 | $12 | 45% | 2–20 | $6 – $47 |
| 7 | Fairview Health Services Burnsville, MN | $29 | $27 | $12 | 45% | 1–10 | $7 – $47 |
| 8 | Range Regional Health Services Hibbing, MN | $41 | $34 | $14 | 40% | 1–10 | $5 – $52 |
| 9 | Grand Itasca Clinic and Hospital Grand Rapids, MN | $41 | $34 | $14 | 40% | 1–10 | $5 – $52 |
| 10 | University of Iowa Health Care Medical Center Downtown Iowa City, IA | $350 | $357 | $104 | 29% | — | $93 – $496 |
Ask Claude or any MCP client for NDC 12496-1204-03 pricing at a specific hospital — see how to connect.