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
Low
$0
Average
$96
Median
$24
High
$662
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Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 73 hospitals; the 90th percentile is 53.5× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Fairview Health Services Edina, MN | $31 | $32 | $10 | 32% | 2–20 | $7 – $47 |
| 2 | HealthEast St John's Hospital Maplewood, MN | $31 | $32 | $10 | 32% | 2–20 | $7 – $47 |
| 3 | Fairview Health Services Minneapolis, MN | $31 | $32 | $9 | 29% | 1–10 | $7 – $47 |
| 4 | Fairview Health Services Princeton, MN | $35 | $34 | $10 | 30% | 1–10 | $7 – $51 |
| 5 | HealthEast Woodwinds Hospital Woodbury, MN | $31 | $32 | $10 | 32% | 1–10 | $7 – $47 |
| 6 | University of Iowa Health Care Medical Center Downtown Iowa City, IA | $350 | $357 | $104 | 29% | — | $93 – $496 |
| 7 | University of Iowa Health Care Medical Center Iowa City, IA | $361 | $360 | $100 | 28% | — | $135 – $496 |
| 8 | IOM Health System LP Fort Wayne, IN | $20 | $22 | $8 | 37% | — | $10 – $37 |
| 9 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN | $51 | $56 | $20 | 35% | — | $25 – $105 |
| 10 | St. Joseph Health System, LLC Wayne, IN | $28 | $31 | $11 | 37% | — | $12 – $50 |
Ask Claude or any MCP client for NDC 12496-1204-03 pricing at a specific hospital — see how to connect.