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/20ML (1,000 MCG/ML) INTRATHECAL SOLN [116977]
Arlington, TX
See all hospitals reporting HCPCS J0475 →Price type
AMH Cath Labs LLC’s median price of $181 is 32% below the median hospital's median price ($268), higher than 17% of the 1,694 hospitals reporting HCPCS J0475. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 33 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $60 | $96 | 161% | — | $3 – $227 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $60 | $96 | 161% | — | $3 – $227 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $63 | $101 | 161% | — | $3 – $239 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $65 | $104 | 161% | — | $3 – $245 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $66 | $106 | 161% | — | $3 – $250 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $181 | $181 | — | — | — | $181 – $181 |
| 7 | Humana medicare advantage case rate · outpatient | $188 | $188 | — | — | — | $188 – $188 |
| 8 | Humana medicare advantage ppo case rate · outpatient | $188 | $188 | — | — | — | $188 – $188 |
| 9 | Molina medicare advantage case rate · outpatient | $190 | $190 | — | — | — | $190 – $190 |
| 10 | WellCare medicare advantage hmo case rate · outpatient | $190 | $190 | — | — | — | $190 – $190 |
| 11 | WellCare medicare advantage mmp case rate · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 12 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 13 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 14 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $19 | $233 | $375 | 161% | — | $12 – $882 |
| 15 | Blue Cross Blue Shield hmo fee schedule · outpatient | $274 | $274 | — | — | — | $274 – $274 |
| 16 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $23 | $277 | $445 | 161% | — | $14 – $1.0k |
| 17 | Blue Cross Blue Shield exchange fee schedule · outpatient | $281 | $281 | — | — | — | $281 – $281 |
| 18 | Blue Cross Blue Shield ppo fee schedule · outpatient | $304 | $304 | — | — | — | $304 – $304 |
| 19 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $26 | $311 | $500 | 161% | — | $16 – $1.2k |
| 20 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $31 | $369 | $593 | 161% | — | $19 – $1.4k |
| 21 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $31 | $373 | $599 | 161% | — | $19 – $1.4k |
| 22 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $39 | $469 | $753 | 161% | — | $24 – $1.8k |
| 23 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $39 | $470 | $755 | 161% | — | $24 – $1.8k |
| 24 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $39 | $473 | $760 | 161% | — | $24 – $1.8k |
| 25 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $39 | $473 | $760 | 161% | — | $24 – $1.8k |
Last updated: Apr 21, 2026
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