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 Pf 40000 MCG/20 ML
Sioux Falls, SD
See all hospitals reporting HCPCS J0475 →Price type
Avera Specialty Hospital’s median price of $175 is 35% below the median hospital's median price ($268), higher than 7% of the 1,700 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: 4 payers, 6 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 | Medica com fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 2 | Medica ind fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 3 | Wellmark hmo fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 4 | Wellmark ppo fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 5 | UnitedHealthcare com fee schedule · outpatient | $290 | $290 | — | — | — | $290 – $290 |
| 6 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $771 | $864 | $418 | 48% | — | $405 – $1.4k |
Last updated: Apr 1, 2026
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