HCPCS Q9991
Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg
Current code31 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,957 – $2,152 | — | — |
| Cascade Valley Hospital | $1,932 – $2,028 | $2,381 | $2,976 |
| Deaconess Medical Center | $1,957 – $2,152 | — | — |
| EvergreenHealth Medical Center | $1,931 – $1,969 | $10,788 | $13,485 |
| Harborview Medical Center | $2,016 – $2,218 | — | — |
| Island Hospital | $2,356 – $2,497 | — | — |
| Kadlec Regional Medical Center | $1,997 – $2,396 | — | — |
| Legacy Salmon Creek Medical Center | $2,056 – $2,236 | — | — |
| Mary Bridge Children's Hospital | $1,957 – $2,152 | — | — |
| MultiCare Auburn Medical Center | $1,957 – $2,152 | — | — |
| MultiCare Covington Medical Center | $1,957 – $2,152 | — | — |
| MultiCare Good Samaritan Hospital | $1,957 – $2,152 | — | — |
| MultiCare Valley Hospital | $2,015 – $2,152 | — | — |
| Olympic Medical Center | $2,473 – $3,180 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,997 – $2,076 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,997 – $2,396 | — | — |
| Providence Centralia Hospital | $1,997 – $3,194 | — | — |
| Providence Holy Family Hospital | $1,997 – $2,196 | — | — |
| Providence Regional Medical Center Everett | $1,997 – $2,196 | — | — |
| Providence St Mary Medical Center | $1,997 – $2,196 | — | — |
| Providence St Peter Hospital | $1,997 – $3,194 | — | — |
| Skagit Valley Hospital | $1,932 – $2,086 | $2,381 | $2,976 |
| Swedish Edmonds Hospital | $1,997 – $2,396 | — | — |
| Swedish Issaquah | $1,997 – $2,396 | — | — |
| Swedish Medical Center | $1,997 – $2,396 | — | — |
| Swedish Medical Center / Cherry Hill | $1,997 – $2,396 | — | — |
| Tacoma General Allenmore Hospital | $1,957 – $2,152 | — | — |
| University of Washington Medical Ctr | $2,016 – $2,218 | — | — |
| Virginia Mason Medical Center | $1,411 – $2,117 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,957 – $2,191 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $2,060 (APC 9073)
- Surgery center payment (national)
- $2,060