Baclofen intrathecal trial injection

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

BACLOFEN 50 MCG/ML INTRATHECAL SOLUTION

Tricare pricing summary

Low

$37

Average

$250

Median

$100

High

$1.0k

Tricare rate distribution

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69 hospital rates

#		Plans
1	Abington Memorial Hospital Abington, PA facility · fee schedule · inpatient	1	$60	$60	—	—	—	$60 – $60
2	Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient	1	$60	$60	—	—	—	$60 – $60
3	Abington Memorial Hospital Abington, PA professional · fee schedule · both	1	$60	$60	—	—	—	$60 – $60
4	Ascension Seton Austin, TX fee schedule · outpatient	1	$80	$80	—	—	—	$80 – $80
5	Ascension Seton Austin, TX fee schedule · outpatient	1	$80	$80	—	—	—	$80 – $80
6	Ascension Seton Austin, TX fee schedule · outpatient	1	$80	$80	—	—	—	$80 – $80
7	Ascension Seton Smithville, TX fee schedule · outpatient	1	$80	$80	—	—	—	$80 – $80
8	Ascension Seton Bastrop, TX fee schedule · outpatient	1	$80	$80	—	—	—	$80 – $80
9	Ascension Seton Austin, TX fee schedule · outpatient	1	$80	$80	—	—	—	$80 – $80
10	Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges	1	$41	$41	—	—	—	$41 – $41
11	Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges	1	$39	$39	—	—	—	$39 – $39
12	Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges	1	$39	$39	—	—	—	$39 – $39
13	Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges	1	$50	$50	—	—	—	$50 – $50
14	CentraState Medical Center Freehold Township, NJ other · outpatient	2	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
15	Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges	1	$137	$137	—	—	—	$137 – $137
16	Chilton Medical Center Pompton Plains, NJ other · outpatient	2	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
17	Craig Hospital Englewood, CO facility · percent of total billed charges · inpatientfrom % of charges	1	$184	$184	—	—	—	$184 – $184
18	Craig Hospital Englewood, CO facility · percent of total billed charges · outpatientfrom % of charges	1	$184	$184	—	—	—	$184 – $184
19	HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges	1	$166	$166	—	—	—	$166 – $166
20	HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges	1	$166	$166	—	—	—	$166 – $166
21	Hackettstown Medical Center Hackettstown, NJ other · outpatient	2	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
22	Jefferson Health - Northeast Langhorne, PA facility · fee schedule · inpatient	1	$60	$60	—	—	—	$60 – $60
23	Jefferson Health - Northeast Langhorne, PA facility · fee schedule · outpatient	1	$60	$60	—	—	—	$60 – $60
24	Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · inpatient	1	$60	$60	—	—	—	$60 – $60
25	Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient	1	$60	$60	—	—	—	$60 – $60