Baclofen injection, 10 mg at Fairview Maple Grove Surgery Center

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 40 MG/20ML IT SOLN

Maple Grove, MN

See all hospitals reporting HCPCS J0475 →

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $192 is 28% below the median hospital's median price ($268), higher than 31% of the 1,700 hospitals reporting HCPCS J0475. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0475 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 8 payers, 27 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	Ucare mhcp fee schedule · both	$169	$169	—	—	—	$169 – $169
2	Medica accessability fee schedule · both	$175	$175	—	—	—	$175 – $175
3	Medica medicaid fee schedule · both	$175	$175	—	—	—	$175 – $175
4	Blue Cross Blue Shield federal fee schedule · both	$178	$178	—	—	—	$178 – $178
5	UnitedHealthcare medicare advantage fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
6	Blue Cross Blue Shield commercial fee schedule · both	$181	$181	—	—	—	$181 – $181
7	Medica ma non-snp fee schedule · both	$184	$184	—	—	—	$184 – $184
8	Medica ma snp fee schedule · both	$184	$184	—	—	—	$184 – $184
9	Medica prime solution fee schedule · both	$184	$184	—	—	—	$184 – $184
10	Medica vantage fee schedule · both	$184	$184	—	—	—	$184 – $184
11	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$185	$185	—	—	—	$185 – $185
12	Blue Cross Blue Shield federal fee schedule · outpatient	$186	$186	—	—	—	$186 – $186
13	Medicaid medicaid fee schedule · both	$188	$188	—	—	—	$188 – $188
14	Blue Cross Blue Shield commercial fee schedule · outpatient	$189	$189	—	—	—	$189 – $189
15	Blue Cross Blue Shield medicaid fee schedule · outpatient	$189	$189	—	—	—	$189 – $189
16	Blue Cross Blue Shield medicaid fee schedule · both	$190	$190	—	—	—	$190 – $190
17	Cigna commercial fee schedule · both	$212	$212	$18	9%	—	$194 – $231
18	Ucare ifp with fairview fee schedule · outpatient	$307	$307	—	—	—	$307 – $307
19	UnitedHealthcare commercial fee schedule · both	$316	$316	—	—	—	$316 – $316
20	Cigna commercial fee schedule · outpatient	$320	$320	$28	9%	—	$292 – $347
21	Medica bold fee schedule · both	$335	$335	—	—	—	$335 – $335
22	Medica choice without / elect fee schedule · both	$372	$372	—	—	—	$372 – $372
23	Medica city of st paul / essential uplan fee schedule · both	$372	$372	—	—	—	$372 – $372
24	Medica choice with fee schedule · both	$385	$385	—	—	—	$385 – $385
25	Ucare ifp fee schedule · outpatient	$410	$410	—	—	—	$410 – $410

Page 1 of 2 · 27 rates

Last updated: May 18, 2026

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