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 2-0.5 MG SL FILM
Maple Grove, MN
See all hospitals reporting HCPCS J0572 →Price type
Fairview Maple Grove Surgery Center’s median price of $11 is 27% above the median hospital's median price ($9), higher than 63% 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, 21 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Ucare mhcp fee schedule · both | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Ucare ifp with fairview fee schedule · both | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Medica accessability fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Medica medicaid fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 5 | Ucare ifp fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 6 | Medicaid medicaid fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 7 | Blue Cross Blue Shield medicaid fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 8 | Medica ma non-snp fee schedule · both | $8 | $8 | — | — | — | $8 – $8 |
| 9 | Medica ma snp fee schedule · both | $8 | $8 | — | — | — | $8 – $8 |
| 10 | Medica prime solution fee schedule · both | $8 | $8 | — | — | — | $8 – $8 |
| 11 | Medica vantage fee schedule · both | $8 | $8 | — | — | — | $8 – $8 |
| 12 | Ucare ifp percent of total billed charges · outpatientfrom % of charges | $10 | $10 | $3 | 28% | — | $6 – $14 |
| 13 | Ucare ifp with fairview percent of total billed charges · outpatientfrom % of charges | $10 | $10 | $3 | 28% | — | $6 – $14 |
| 14 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $11 | $11 | $3 | 29% | — | $6 – $17 |
| 15 | UnitedHealthcare commercial fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 16 | Medica bold fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 17 | Medica choice without / elect fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 18 | Medica city of st paul / essential uplan fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 19 | Medica choice with fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 20 | First Health commercial percent of total billed charges · outpatientfrom % of charges | $16 | $17 | $5 | 28% | — | $10 – $24 |
| 21 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $17 | $17 | $5 | 28% | — | $11 – $25 |
Last updated: May 18, 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.