Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
baclofen 50 mcg/mL Soln 1 mL AMPUL
Rapids, MN
See all hospitals reporting HCPCS J0476 →Price type
Allina Health Systems’s median price of $104 is 6% above the median hospital's median price ($98), higher than 55% of the 1,480 hospitals reporting HCPCS J0476. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare united healthcare (um) facility · case rate · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $46 | $46 | $17 | 36% | — | $30 – $63 |
| 3 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $51 | $51 | $18 | 36% | — | $33 – $69 |
| 4 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 5 | Bcbs Mn bc premier (m u) facility · other · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 6 | Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 7 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 8 | Bcbs Mn bc high value/performance network (mu) facility · other · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 9 | Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges | $81 | $81 | $29 | 36% | — | $52 – $110 |
| 10 | Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges | $86 | $86 | $31 | 36% | — | $55 – $117 |
| 11 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $102 | $102 | $36 | 36% | — | $65 – $138 |
| 12 | Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges | $125 | $125 | $45 | 36% | — | $80 – $170 |
| 13 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $135 | $135 | $48 | 36% | — | $86 – $183 |
| 14 | Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges | $161 | $161 | $57 | 36% | — | $103 – $218 |
| 15 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $164 | $164 | $59 | 36% | — | $106 – $223 |
| 16 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $172 | $172 | $61 | 36% | — | $110 – $233 |
| 17 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $172 | $172 | $61 | 36% | — | $110 – $233 |
| 18 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $181 | $181 | $65 | 36% | — | $116 – $245 |
| 19 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $183 | $183 | $66 | 36% | — | $118 – $249 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $193 | $193 | $69 | 36% | — | $124 – $262 |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $193 | $193 | $69 | 36% | — | $124 – $262 |
| 22 | Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges | $193 | $193 | $69 | 36% | — | $124 – $262 |
Last updated: Jun 17, 2026
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