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
BACLOFEN 20,000 MCG/20 ML (1,000 MCG/ML) INTRATHECAL SYRINGE
Low
$30
Average
$703
Median
$293
High
$3.1k
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 10.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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35 hospital rates
iThe hospitals that file a Carefirst rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $175 | $170 | $8 | 5% | — | $158 – $178 |
| 2 | Children's National Hospital Washington, DC facility · fee schedule · inpatient | 2 | $290 | $290 | — | — | — | $290 – $290 |
| 3 | Children's National Hospital Washington, DC facility · fee schedule · outpatient | 2 | $456 | $456 | — | — | — | $456 – $456 |
| 4 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $610 | $610 | $0 | 0% | — | $610 – $610 |
| 5 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $510 | $510 | $0 | 0% | — | $510 – $510 |
| 6 | Children's National Rehabilitation and Specialized Care Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 2 | $1.0k | $1.0k | $43 | 4% | — | $964 – $1.0k |
| 7 | Children's National Rehabilitation and Specialized Care Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.0k | $1.0k | $43 | 4% | — | $964 – $1.0k |
| 8 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $2.9k | $3.0k | $1.8k | 60% | — | $1.2k – $5.0k |
| 9 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $3.0k | $3.1k | $1.8k | 60% | — | $1.2k – $5.0k |
| 10 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $131 | $124 | $23 | 18% | — | $94 – $148 |
| 11 | MedStar Georgetown Hospital Washington, DC facility · fee schedule · outpatient | 3 | $463 | $369 | $133 | 36% | — | $181 – $463 |
| 12 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $379 | $359 | $65 | 18% | — | $271 – $427 |
| 13 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $310 | $295 | $53 | 18% | — | $223 – $351 |
| 14 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 3 | $172 | $163 | $30 | 18% | — | $123 – $194 |
| 15 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 3 | $246 | $233 | $42 | 18% | — | $176 – $278 |
| 16 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 3 | $148 | $137 | $22 | 16% | — | $106 – $156 |
| 17 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $306 | $291 | $53 | 18% | — | $220 – $346 |
| 18 | MedStar Washington Hospital Center NW, WA facility · fee schedule · outpatient | 3 | $569 | $440 | $183 | 42% | — | $181 – $569 |
| 19 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $826 | $941 | $479 | 51% | — | $419 – $1.6k |
| 20 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | $760 | 58% | — | $541 – $2.1k |
| 21 | National Rehabilitation Hospital Washington, WA facility · fee schedule · outpatient | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 22 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $252 | $262 | $49 | 19% | — | $187 – $340 |
| 23 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $291 | $283 | $38 | 13% | — | $233 – $324 |
| 24 | Potomac Hospital Corporation of Prince William Lake Ridge, VA facility · fee schedule · outpatient | 2 | $260 | $260 | $17 | 6% | — | $243 – $276 |
| 25 | RESTON HOSPITAL CENTER Reston, VA fee schedule · outpatient | 2 | $274 | $274 | — | — | — | $274 – $274 |
← Payers reporting HCPCS J0475 · Snapshot 20261111T120946Z-9134e7f7