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
$124
Average
$722
Median
$181
High
$4.9k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
134 hospitals; the 90th percentile is 13.2× 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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147 hospital rates
iThe hospitals that file a Tricare 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 | The Children's Hospital of Alabama Birmingham, AL facility · fee schedule · outpatient | 1 | $710 | $558 | $240 | 43% | 20 | $177 – $710 |
| 2 | The Children's Hospital of Alabama Birmingham, AL facility · fee schedule · outpatient | 1 | $710 | $710 | — | — | 20 | $710 – $710 |
| 3 | Abington Memorial Hospital Abington, PA facility · fee schedule · inpatient | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 4 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $603 | $603 | — | — | — | $603 – $603 |
| 5 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $179 | $179 | — | — | — | $179 – $179 |
| 6 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $4.5k | $4.9k | $3.3k | 66% | — | $1.1k – $9.1k |
| 7 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 8 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 9 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 10 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 11 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 12 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 13 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 14 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 15 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $436 | $417 | $243 | 58% | — | $109 – $770 |
| 16 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $424 | $405 | $236 | 58% | — | $106 – $748 |
| 17 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $424 | $405 | $236 | 58% | — | $106 – $748 |
| 18 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $536 | $513 | $298 | 58% | — | $134 – $946 |
| 19 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 20 | Boston Medical Center Boston, MA other · both | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 21 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 22 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $172 | $172 | — | — | — | $172 – $172 |
| 23 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $1.1k | $1.6k | $1.6k | 104% | — | $176 – $5.3k |
| 24 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $172 | $172 | — | — | — | $172 – $172 |
| 25 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $181 | $181 | — | — | — | $181 – $181 |
← Payers reporting HCPCS J0475 · Snapshot 20261111T120946Z-9134e7f7