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 INTRATHECAL SOLUTION
Hanover, PA
See all hospitals reporting HCPCS J0476 →Price type
UPMC Hanover’s median price of $40 is 59% below the median hospital's median price ($98), higher than 3% of the 1,475 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: 8 payers, 16 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 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $10 | $10 | $4 | 39% | — | $6 – $14 |
| 2 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $19 | $19 | $7 | 39% | — | $11 – $26 |
| 3 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $30 | $30 | $12 | 39% | — | $18 – $41 |
| 4 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $32 | $32 | $12 | 39% | — | $19 – $44 |
| 5 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $32 | $32 | $13 | 39% | — | $20 – $45 |
| 6 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $36 | $36 | $14 | 39% | — | $22 – $50 |
| 7 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $36 | $36 | $14 | 39% | — | $22 – $50 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $38 | $38 | $15 | 39% | — | $23 – $53 |
| 9 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $40 | $40 | $16 | 39% | — | $25 – $56 |
| 10 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $45 | $45 | $17 | 39% | — | $27 – $62 |
| 11 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $45 | $45 | $17 | 39% | — | $27 – $62 |
| 12 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $45 | $45 | $17 | 39% | — | $27 – $62 |
| 13 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $45 | $45 | $17 | 39% | — | $27 – $62 |
| 14 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 15 | Highmark medicaid facility · fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 16 | Cigna commercial facility · fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
Last updated: Mar 6, 2026
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