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-naloxone 2-0.5 mg Film 1 each PACKET
Ulm, MN
See all hospitals reporting HCPCS J0572 →Price type
Allina Health Systems’s median price of $21 is 143% above the median hospital's median price ($9), higher than 84% of the 1,354 hospitals reporting HCPCS J0572. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 23 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $7 | $7 | — | — | — | $7 – $7 |
| 2 | Bcbs Mn bc pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 3 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 4 | Bcbs Mn bc premier(n) facility · percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 5 | Bcbs Mn bc state health plan (n) facility · percent of total billed charges · outpatientfrom % of charges | $12 | $12 | — | — | — | $12 – $12 |
| 6 | Blue Cross Blue Shield bc aehp (n) facility · percent of total billed charges · outpatientfrom % of charges | $13 | $13 | — | — | — | $13 – $13 |
| 7 | Bcbs Mn bc high value/performance network (n) facility · percent of total billed charges · outpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 8 | Medicaid medicaid ma (n) facility · other · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 9 | Medica medica medicare (r) facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 10 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 11 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 12 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
| 13 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
| 14 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 15 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $23 | $23 | — | — | — | $23 – $23 |
| 16 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $24 | $24 | — | — | — | $24 – $24 |
| 17 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $27 | $27 | — | — | — | $27 – $27 |
| 18 | Cigna hpi cigna (n) facility · other · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 19 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 21 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 22 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 23 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
Last updated: Jun 16, 2026
See Buprenorphine and naloxone oral tablet, up to 3 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.