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HCPCS J0476
BACLOFEN INTRATHECAL SOLN PREFILLED SYRINGE 50 MCG/ML - as described in hospitals' own price files.
53hospitals publishing a price
$135median cash price
$101median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Medstar Franklin Square Medical Center | Rosedale, MD | $41.84 | $42.69 | $42.69 | $41.84 - $42.69 |
| Providence St. Jude Medical Center | Fullerton, CA | $44.76 | - | $93.25 | - |
| Providence Alaska Medical Center | Anchorage, AK | $50.70 | - | $65.00 | - |
| Medstar Saint Mary'S Hospital | Leonardtown, MD | $50.07 | $51.09 | $51.09 | $50.07 - $51.09 |
| Medstar Montgomery Medical Center | Olney, MD | $54.75 | $55.87 | $55.87 | $54.75 - $55.87 |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $64.62 | - | $185 | - |
| Orange County Global Medical Center | Santa Ana, CA | $158 | $67.00 | $304 | $67.00 - $113 |
| Los Angeles General Medical Center | Los Angeles, CA | $158 | $67.00 | $304 | $67.00 - $113 |
| San Francisco VA Medical Center | San Francisco, CA | $170 | $67.00 | $304 | $67.00 - $113 |
| San Mateo Medical Center | San Mateo, CA | $170 | $67.00 | $304 | $67.00 - $113 |
| Tri-City Medical Center | Oceanside, CA | $170 | $67.00 | $304 | $67.00 - $113 |
| Santa Clara Valley Medical Center | San Jose, CA | $170 | $67.00 | $304 | $67.00 - $113 |
| Sutter Medical Center, Sacramento | Sacramento, CA | $170 | $67.00 | $304 | $67.00 - $113 |
| Lompoc Valley Medical Center | Lompoc, CA | $158 | $67.00 | $304 | $67.00 - $113 |
| Sutter Roseville Medical Center | Roseville, CA | $170 | $67.00 | $304 | $67.00 - $113 |
| George Washington Univ Hospital | Washington, DC | $135 | $67.20 | $338 | $63.40 - $254 |
| Medstar Southern Maryland Hospital Center | Clinton, MD | $78.43 | $80.03 | $80.03 | $78.43 - $80.03 |
| Oro Valley Hospital | Oro Valley, AZ | $63.30 | $81.50 | $264 | $40.36 - $237 |
| Grandview Medical Center | Birmingham, AL | $24.75 | $90.75 | $165 | $24.75 - $165 |
| Northridge Hospital Medical Center | Northridge, CA | $91.09 | - | $339 | $26.51 - $339 |
| Providence Holy Family Hospital | Spokane, WA | $92.16 | - | $132 | - |
| Medstar Union Memorial Hospital | Baltimore, MD | $97.73 | $99.72 | $99.72 | $97.73 - $99.72 |
| Medstar Harbor Hospital | Baltimore, MD | $98.99 | $101 | $101 | $98.99 - $101 |
| Swedish Edmonds Hospital | Edmonds, WA | $102 | - | $213 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $102 | - | $213 | - |
| Swedish Issaquah | Issaquah, WA | $102 | - | $213 | - |
| Providence St. Peter Hospital | Olympia, WA | $104 | - | $199 | - |
| Corona Regional Medical Center | Corona, CA | - | $122 | $745 | $15.36 - $670 |
| Medstar Good Samaritan Hospital | Baltimore, MD | $121 | $123 | $123 | $121 - $123 |
| Penn State Health Hampden Medical Center | Enola, PA | $82.53 | $131 | $262 | $59.51 - $210 |
| Milton S Hershey Medical Center | Hershey, PA | $78.61 | $143 | $237 | $42.71 - $190 |
| Chi St. Joseph Health Regional Hospital | Bryan, TX | $150 | - | $860 | $5.61 - $860 |
| Lakewood Ranch Medical Center | Bradenton, FL | - | $155 | $636 | $43.34 - $34,344 |
| Western Arizona Regional Medical Center | Bullhead City, AZ | $42.89 | $179 | $357 | $42.89 - $340 |
| Providence St. Vincent Medical Center | Portland, OR | $202 | - | $269 | - |
| Providence Portland Medical Center | Portland, OR | $202 | - | $269 | - |
| Doctors Hospital | Columbus, OH | $217 | - | $334 | - |
| Dublin Methodist Hospital | Dublin, OH | $217 | - | $334 | - |
| Grant Medical Center | Columbus, OH | $217 | - | $334 | - |
| Riverside Methodist Hospital | Columbus, OH | $217 | - | $334 | - |
| Temecula Valley Hospital | Temecula, CA | - | $247 | $1,128 | $33.63 - $1,015 |
| Dukes Memorial Hospital | Peru, IN | $279 | $260 | $558 | $44.97 - $558 |
| Flowers Hospital | Dothan, AL | $60.31 | $300 | $402 | $45.94 - $402 |
| Dominican Hospital | Santa Cruz, CA | $310 | - | $701 | $47.47 - $596 |
| Providence Medford Medical Center | Medford, OR | $349 | - | $465 | - |
| Bluffton Regional Medical Center | Bluffton, IN | $135 | $349 | $563 | $33.63 - $507 |
| Dupont Hospital LLC | Fort Wayne, IN | $188 | $370 | $698 | $35.60 - $628 |
| South Texas Health System | Edinburg, TX | $2,343 | $394 | $3,124 | $34.95 - $2,499 |
| Northern Nevada Medical Center | Sparks, NV | - | $398 | $1,697 | $54.34 - $1,222 |
| Wellington Regional Medical Center | Wellington, FL | $657 | $493 | $1,642 | $105 - $1,034 |
| Henderson Hospital | Henderson, NV | - | $504 | $3,540 | $58.69 - $2,832 |
| Spring Valley Hospital Medical Center | Las Vegas, NV | - | $518 | $3,540 | $58.69 - $2,832 |
| St. Mary'S Regional Medical Center | Enid, OK | - | $578 | $1,445 | $76.61 - $1,142 |
Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.
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