HCPCS J0476
Injection, baclofen, 50 mcg for intrathecal trial
Current code33 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| EvergreenHealth Medical Center | — | $476 | $595 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $95.32 | $312 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $151 | $378 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $73.29 – $243 | $113 – $374 |
| PeaceHealth Southwest Medical Cente | — | $73.29 – $243 | $113 – $374 |
| PeaceHealth St John Medical Center | — | $73.29 – $243 | $113 – $374 |
| PeaceHealth St Joseph Medical Center | — | $73.29 – $243 | $113 – $374 |
| PeaceHealth United General Medical Center | — | $73.29 – $243 | $113 – $374 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $92.16 | $132 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $92.16 | $132 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | $104 | $199 |
| Seattle Children's Hospital | $170 – $216 | $663 | $663 |
| St Anthony Hospital | — | $94.95 | $312 |
| St Clare Hospital | — | $89.98 | $312 |
| St Elizabeth Hospital | $53.07 – $64.62 | $110 | $312 |
| St Francis Community Hospital | — | $97.96 | $312 |
| St Joseph Medical Center | — | $103 | $312 |
| St Michael Medical Center | — | $138 | $312 |
| Swedish Edmonds Hospital | — | $102 | $213 |
| Swedish Issaquah | — | $102 | $213 |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | $102 | $213 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $143 – $150 | $279 – $293 |
| Yakima Valley Memorial | — | $170 | $425 |
Medicare (traditional) reference
CMS publishes no national amount for this code.