Buprenorphine and naloxone oral tablet, 3 to 6 mg at Fairview Maple Grove Surgery Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

BUPRENORPHINE HCL-NALOXONE HCL 4-1 MG SL FILM

Maple Grove, MN

See all hospitals reporting HCPCS J0573 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $22 is 39% above the median hospital's median price ($16), higher than 69% of the 973 hospitals reporting HCPCS J0573. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0573 at Fairview Maple Grove Surgery Center

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	$7	$7	—	—	—	$7 – $7
2	Ucare ifp with fairview fee schedule · both	$7	$7	—	—	—	$7 – $7
3	Medica accessability fee schedule · both	$7	$7	—	—	—	$7 – $7
4	Medica medicaid fee schedule · both	$7	$7	—	—	—	$7 – $7
5	Ucare ifp fee schedule · both	$7	$7	—	—	—	$7 – $7
6	Medicaid medicaid fee schedule · both	$8	$8	—	—	—	$8 – $8
7	Blue Cross Blue Shield medicaid fee schedule · both	$8	$8	—	—	—	$8 – $8
8	Medica ma non-snp fee schedule · both	$12	$12	—	—	—	$12 – $12
9	Medica ma snp fee schedule · both	$12	$12	—	—	—	$12 – $12
10	Medica prime solution fee schedule · both	$12	$12	—	—	—	$12 – $12
11	Medica vantage fee schedule · both	$12	$12	—	—	—	$12 – $12
12	Ucare ifp percent of total billed charges · outpatientfrom % of charges	$18	$20	$4	17%	—	$18 – $26
13	Ucare ifp with fairview percent of total billed charges · outpatientfrom % of charges	$18	$20	$4	17%	—	$18 – $26
14	UnitedHealthcare commercial fee schedule · both	$20	$20	—	—	—	$20 – $20
15	Medica bold fee schedule · both	$21	$21	—	—	—	$21 – $21
16	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$21	$22	$4	20%	—	$17 – $30
17	Medica choice without / elect fee schedule · both	$24	$24	—	—	—	$24 – $24
18	Medica city of st paul / essential uplan fee schedule · both	$24	$24	—	—	—	$24 – $24
19	Medica choice with fee schedule · both	$24	$24	—	—	—	$24 – $24
20	First Health commercial percent of total billed charges · outpatientfrom % of charges	$30	$33	$6	17%	—	$29 – $43
21	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$31	$35	$6	17%	—	$31 – $44

Last updated: May 18, 2026

Compare to other hospitals

See Buprenorphine and naloxone oral tablet, 3 to 6 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.