HCPCS J0476
Injection, baclofen, 50 mcg for intrathecal trial
Current code33 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| EvergreenHealth Medical Center | $59.70 – $553 | $476 | $595 |
| Highline Medical Center | $134 – $281 | $95.32 | $312 |
| Mary Bridge Children's Hospital | $247 – $302 | $151 | $378 |
| PeaceHealth Peace Island Medical Center | — | $404 | $622 |
| PeaceHealth Southwest Medical Cente | — | $404 | $622 |
| PeaceHealth St John Medical Center | — | $404 | $622 |
| PeaceHealth St Joseph Medical Center | — | $404 | $622 |
| PeaceHealth United General Medical Center | $5,299 | $404 | $622 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $92.16 | $132 |
| Providence Holy Family Hospital | — | $92.16 | $132 |
| Providence St Peter Hospital | — | $104 | $199 |
| Seattle Children's Hospital | $358 – $636 | $663 | $663 |
| St Anthony Hospital | $172 – $234 | $94.95 | $312 |
| St Clare Hospital | $172 – $234 | $89.98 | $312 |
| St Elizabeth Hospital | $112 – $281 | $110 | $312 |
| St Francis Community Hospital | $172 – $234 | $97.96 | $312 |
| St Joseph Medical Center | $172 – $234 | $103 | $312 |
| St Michael Medical Center | $197 – $281 | $138 | $312 |
| Swedish Edmonds Hospital | — | $102 | $213 |
| Swedish Issaquah | — | $102 | $213 |
| Swedish Medical Center / Cherry Hill | — | $102 | $213 |
| Virginia Mason Medical Center | $179 – $235 | $143 – $150 | $279 – $293 |
| Yakima Valley Memorial | $238 | $170 | $425 |
Medicare (traditional) reference
CMS publishes no national amount for this code.