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 10,000 MCG/20ML (500 MCG/ML) IT SYRG
Meridian, MS
See all hospitals reporting HCPCS J0475 →Price type
Rush Medical Foundation’s median price of $179 is 33% below the median hospital's median price ($268), higher than 15% 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: 11 payers, 15 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 | Bcbs Ms all payor fee schedule · outpatient | $140 | $153 | $26 | 17% | — | $140 – $216 |
| 2 | Humana all payor other · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 3 | Humana all payor fee schedule · outpatient | $176 | $170 | $14 | 8% | — | $139 – $176 |
| 4 | Cigna all payor fee schedule · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 5 | UnitedHealthcare all payor fee schedule · outpatient | $174 | $175 | $1 | 1% | — | $174 – $178 |
| 6 | Cigna Healthspring all payor fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 7 | Optum all payor fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 8 | WellCare all payor fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 9 | Molina all payor fee schedule · outpatient | $178 | $177 | $1 | 0% | — | $175 – $178 |
| 10 | Aetna all payor fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 11 | Ambetter all payor fee schedule · outpatient | $246 | $246 | — | — | — | $246 – $246 |
| 12 | Cigna all payor other · outpatient | $1.3k | $1.5k | $1.2k | 80% | — | $150 – $3.4k |
| 13 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.7k | $1.7k | 98% | — | $203 – $4.7k |
| 14 | Aetna all payor other · outpatient | $1.5k | $1.8k | $1.4k | 80% | — | $176 – $4.0k |
| 15 | MultiPlan all payor other · inpatient | $2.6k | $3.1k | $1.6k | 54% | — | $1.3k – $5.3k |
Last updated: Apr 1, 2026
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