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
$162
Average
$1.0k
Median
$554
High
$3.0k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
75 hospitals; the 90th percentile is 10.8× 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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87 hospital rates
iThe hospitals that file a Medical Mutual 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $369 | $369 | — | — | — | $369 – $369 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 3 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 2 | $319 | $319 | $80 | 25% | — | $239 – $399 |
| 4 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $261 | $261 | — | — | — | $261 – $261 |
| 5 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $555 | $555 | — | — | — | $555 – $555 |
| 6 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 7 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $369 | $369 | — | — | — | $369 – $369 |
| 8 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $1.0k | $615 | 60% | — | $410 – $1.6k |
| 9 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 10 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 12 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 13 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 2 | $319 | $319 | $80 | 25% | — | $239 – $399 |
| 14 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 15 | Fort Hamilton Hospital Hamilton, OH fee schedule · outpatient | 2 | $319 | $319 | $80 | 25% | — | $239 – $399 |
| 16 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 1 | $369 | $369 | — | — | — | $369 – $369 |
| 17 | Greene Memorial Hospital Inc Xenia, OH fee schedule · outpatient | 2 | $319 | $319 | $80 | 25% | — | $239 – $399 |
| 18 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 1 | $369 | $369 | — | — | — | $369 – $369 |
| 19 | Kettering Medical Center Troy, OH fee schedule · outpatient | 2 | $319 | $319 | $80 | 25% | — | $239 – $399 |
| 20 | Kettering Medical Center Franklin, OH fee schedule · outpatient | 2 | $319 | $319 | $80 | 25% | — | $239 – $399 |
| 21 | Kettering Medical Center Middletown, OH fee schedule · outpatient | 2 | $319 | $319 | $80 | 25% | — | $239 – $399 |
| 22 | Marietta Memorial Hospital Belpre, OH facility · fee schedule · outpatient | 2 | $554 | $554 | $45 | 8% | — | $509 – $598 |
| 23 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $1.2k | $1.4k | $837 | 61% | — | $458 – $2.6k |
| 24 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 3 | $1.6k | $1.6k | $16 | 1% | — | $1.6k – $1.6k |
| 25 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $472 | $470 | $61 | 13% | — | $395 – $543 |
← Payers reporting HCPCS J0475 · Snapshot 20261111T120946Z-9134e7f7