Every billing code / HCPCS J0476 / Seattle Children's Hospital
HCPCS J0476 at Seattle Children's Hospital
Injection, baclofen, 50 mcg for intrathecal trial
Seattle Children's Hospital, Seattle
Description from CMS's HCPCS Level II code file.
What Seattle Children's Hospital publishes for this code: as an outpatient
Seattle Children's Hospital’s prices for HCPCS J0476, as an outpatient| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $358 – $63698 plans | — |
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| Medicaid managed careInsurer rates | $170 – $21612 plans | — |
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| Medicaid (state program)Insurer rates | $1671 plan | — |
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| Other government programInsurer rates | $2721 plan | — |
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| UnknownInsurer rates | $167 – $5975 plans | — |
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| Cash pricePaying yourself, without insurance | $663 | — |
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| List priceBefore any discount; few people pay it | $663 | — |
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Lowest and highest amounts Seattle Children's Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.
Bills to expect
The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in Seattle (King County) for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.
Bills to expect for HCPCS J0476 at Seattle Children's Hospital| Bill | What it’s for | Original Medicare allows | Private plan estimate |
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| Hospital's feeThe hospital | The drug, per billing unit | — | The price above |
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Drug prices are per billing unit (the unit is in the code's name, such as "per 10 mg"). Your dose decides how many units you're billed, so the total depends on your prescription, and giving the drug may be billed separately.
Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.
Compare HCPCS J0476 at every Washington hospital, with Medicare’s reference amounts.