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 (1 ML) INTRATHECAL SYRINGE
Ulysses, KS
See all hospitals reporting HCPCS J0476 →Price type
Commonspirit Kansas, Inc.’s median price of $412 is 320% above the median hospital's median price ($98), higher than 93% of the 1,484 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: 6 payers, 13 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 | Bcbs Ks commercial ppo/hmo fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 2 | Aetna managed medicare percent of total billed charges · outpatientfrom % of charges | $248 | $248 | $90 | 36% | — | $158 – $338 |
| 3 | Humana managed medicare percent of total billed charges · outpatientfrom % of charges | $248 | $248 | $90 | 36% | — | $158 – $338 |
| 4 | Medicare medicare percent of total billed charges · outpatientfrom % of charges | $248 | $248 | $90 | 36% | — | $158 – $338 |
| 5 | UnitedHealthcare managed medicare percent of total billed charges · outpatientfrom % of charges | $248 | $248 | $90 | 36% | — | $158 – $338 |
| 6 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $620 | $620 | $224 | 36% | — | $396 – $844 |
| 7 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $620 | $620 | $224 | 36% | — | $396 – $844 |
| 8 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges | $646 | $646 | $234 | 36% | — | $412 – $880 |
| 9 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges | $646 | $646 | $234 | 36% | — | $412 – $880 |
| 10 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $697 | $697 | $252 | 36% | — | $445 – $950 |
| 11 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $697 | $697 | $252 | 36% | — | $445 – $950 |
| 12 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $721 | $721 | $261 | 36% | — | $460 – $981 |
| 13 | MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges | $721 | $721 | $261 | 36% | — | $460 – $981 |
Last updated: Feb 3, 2026
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