Baclofen intrathecal trial injection at Mercy Hospital Springfield

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
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

BACLOFEN 50 MCG/ML (1 ML) INTRATHECAL SYRINGE

Ozark, MO

See all hospitals reporting HCPCS J0476 →

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How this price compares nationally

Mercy Hospital Springfield’s median price of $223 is 127% above the median hospital's median price ($98), higher than 84% of the 1,480 hospitals reporting HCPCS J0476. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0476 at Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 12 payers, 26 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	Aetna hb sprg ok medicaid facility · fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
2	Humana hb sprg ok medicaid facility · fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
3	Medicaid hb sprg ok medicaid facility · fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
4	Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
5	Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
6	Optum hb sprg uhc all payer facility · fee schedule · outpatient	$87	$87	—	—	—	$87 – $87
7	UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient	$87	$87	—	—	—	$87 – $87
8	UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient	$87	$87	—	—	—	$87 – $87
9	UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient	$87	$87	—	—	—	$87 – $87
10	Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges	$89	$89	—	—	—	$89 – $89
11	Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$89	$89	—	—	—	$89 – $89
12	UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$89	$89	—	—	—	$89 – $89
13	Anthem hb sprg anthem blue access facility · fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
14	Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
15	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
16	Cigna hb sprg cigna hmo facility · fee schedule · outpatient	$116	$116	—	—	—	$116 – $116
17	Cigna hb sprg cigna ppo facility · fee schedule · outpatient	$116	$116	—	—	—	$116 – $116
18	Anthem hb sprg anthem alliance facility · fee schedule · outpatient	$119	$119	—	—	—	$119 – $119
19	Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient	$119	$119	—	—	—	$119 – $119
20	Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges	$176	$176	—	—	—	$176 – $176
21	Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges	$181	$181	—	—	—	$181 – $181
22	First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges	$250	$250	—	—	—	$250 – $250
23	Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges	$303	$303	—	—	—	$303 – $303
24	Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$325	$325	—	—	—	$325 – $325
25	Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$340	$340	—	—	—	$340 – $340

Page 1 of 2 · 26 rates

Last updated: Jun 4, 2026

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