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
$126
Average
$775
Median
$331
High
$3.1k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 10.4× 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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26 hospital rates
iThe hospitals that file a Excellus 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 | $9 | 5% | — | $158 – $178 |
| 2 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 3 | $181 | $266 | $119 | 45% | — | $181 – $434 |
| 3 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $181 | $181 | — | — | — | $181 – $181 |
| 4 | Highland Hospital Rochester, NY fee schedule · outpatient | 3 | $181 | $181 | — | — | — | $181 – $181 |
| 5 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $3.1k | $3.1k | $1.9k | 60% | — | $1.2k – $4.9k |
| 6 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $3.1k | $3.1k | $1.9k | 60% | — | $1.2k – $5.0k |
| 7 | MVHS, Inc. Utica, NY fee schedule · both | 2 | $712 | $712 | — | — | — | $712 – $712 |
| 8 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 9 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $181 | $181 | — | — | — | $181 – $181 |
| 10 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $826 | $941 | $479 | 51% | — | $419 – $1.6k |
| 11 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 2 | $287 | $287 | $105 | 37% | — | $181 – $392 |
| 12 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 2 | $314 | $314 | — | — | — | $314 – $314 |
| 13 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $349 | $349 | $167 | 48% | — | $181 – $516 |
| 14 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.5k | $922 | 61% | — | $579 – $2.4k |
| 15 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $507 | $507 | $325 | 64% | — | $181 – $832 |
| 16 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $588 | $673 | $349 | 52% | — | $294 – $1.1k |
| 17 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $251 | $251 | — | — | — | $251 – $251 |
| 19 | St. James Hospital Hornell, NY fee schedule · outpatient | 2 | $407 | $407 | — | — | — | $407 – $407 |
| 20 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 3 | $181 | $181 | — | — | — | $181 – $181 |
| 21 | Sunnyview Rehab Hospital Schenectady, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 22 | The Unity Hospital of Rochester Rochester, NY facility · fee schedule · outpatient | 3 | $181 | $297 | $163 | 55% | — | $181 – $528 |
| 23 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 2 | $531 | $531 | $350 | 66% | — | $181 – $881 |
| 24 | University of Vermont Medical Center Inc Colchester, VT facility · percent of total billed charges · inpatientfrom % of charges | 2 | $137 | $137 | $38 | 28% | — | $98 – $175 |
| 25 | University of Vermont Medical Center Inc Colchester, VT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $98 | $119 | $61 | 51% | — | $57 – $202 |
← Payers reporting HCPCS J0475 · Snapshot 20261111T120946Z-9134e7f7