HCPCS J0574

Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine

Current code25 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS J0574 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$27.82 – $41.804 plans$40.00$50.00
Seattle Children's HospitalSeattle—$9.90$9.90
Three Rivers HospitalBrewster$15.081 plan$21.54$21.54

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.