NDC 904647561
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
00904-6475-61 - baclofen 10 mg Tab
Reported by 14 hospitals in the network under the per diem methodology.
Low
$1
Average
$2.3k
Median
$2.5k
High
$5.0k
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Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 14 hospitals; the 90th percentile is 2706.3× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Dukes Health System LLC Peru, IN | $2 | $2 | — | — | — | $1 – $7 |
| 2 | Victoria of Texas LP Victoria, TX | $2 | $2 | $1 | 48% | — | $2 – $29 |
| 3 | Victoria of Texas LP Victoria, TX | $2 | $2 | $1 | 48% | — | $2 – $29 |
| 4 | Affinity Hospital LLC Birmingham, AL | $13 | $13 | — | — | — | $7 – $43 |
| 5 | Gadsden Regional Medical Center LLC Gadsden, AL | $1.5k | $1.5k | — | — | — | $0 – $1.5k |
| 6 | East Georgia Regional Medical Center LLC Statesboro, GA | $900 | $900 | — | — | — | $4 – $900 |
| 7 | Laredo Texas Hospital Company LP Laredo, TX | $0 | $1 | $0 | 34% | — | $0 – $7 |
| 8 | Arkansas Childrens Hospital Little Rock, AR | $3.9k | $3.9k | $437 | 11% | — | $3.1k – $5.2k |
| 9 | Arkansas Childrens Northwest Springdale, AR | $3.6k | $3.5k | $227 | 6% | — | $3.1k – $5.2k |
| 10 | The Queens Medical Center Honolulu, HI | $4.9k | $5.0k | $229 | 5% | — | $4.8k – $5.3k |
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