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 |
| Harborview Medical Center | $50.91 | — | — |
| Highline Medical Center | $134 – $377 | $95.32 | $312 |
| Island Hospital | $59.51 | — | — |
| Kadlec Regional Medical Center | $50.58 – $155 | — | — |
| Legacy Salmon Creek Medical Center | $78.67 – $121 | — | — |
| Mary Bridge Children's Hospital | $244 – $307 | $151 | $378 |
| Overlake Hospital Medical Center & Clinics | $75.76 – $80.65 | — | — |
| PeaceHealth Peace Island Medical Center | — | $73.29 – $243 | $113 – $374 |
| PeaceHealth Southwest Medical Cente | $92.25 | $73.29 – $243 | $113 – $374 |
| PeaceHealth St John Medical Center | $104 | $73.29 – $243 | $113 – $374 |
| PeaceHealth St Joseph Medical Center | $103 | $73.29 – $243 | $113 – $374 |
| PeaceHealth United General Medical Center | — | $73.29 – $243 | $113 – $374 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $49.47 – $99.51 | $92.16 | $132 |
| Providence Centralia Hospital | $113 – $345 | — | — |
| Providence Holy Family Hospital | $49.47 – $99.51 | $92.16 | $132 |
| Providence Regional Medical Center Everett | $49.47 – $99.51 | — | — |
| Providence St Mary Medical Center | $89.60 – $284 | — | — |
| Providence St Peter Hospital | $93.18 – $99.51 | $104 | $199 |
| Seattle Children's Hospital | $358 – $636 | $663 | $663 |
| St Anthony Hospital | $156 – $315 | $94.95 | $312 |
| St Clare Hospital | $156 – $315 | $89.98 | $312 |
| St Elizabeth Hospital | $49.62 – $350 | $110 | $312 |
| St Francis Community Hospital | $156 – $315 | $97.96 | $312 |
| St Joseph Medical Center | $156 – $315 | $103 | $312 |
| St Michael Medical Center | $91.88 – $281 | $138 | $312 |
| Swedish Edmonds Hospital | $49.47 – $134 | $102 | $213 |
| Swedish Issaquah | $49.47 – $134 | $102 | $213 |
| Swedish Medical Center | $49.47 – $99.51 | — | — |
| Swedish Medical Center / Cherry Hill | $49.47 – $99.51 | $102 | $213 |
| University of Washington Medical Ctr | $50.91 | — | — |
| Virginia Mason Medical Center | $113 – $240 | $143 – $150 | $279 – $293 |
| Yakima Valley Memorial | $93.68 – $364 | $170 | $425 |
Medicare (traditional) reference
CMS publishes no national amount for this code.