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
Injection glatiramer acetate
Low
$58
Average
$311
Median
$280
High
$657
Each hospital's average Regence rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 6.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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38 hospital rates
iThe hospitals that file a Regence rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ALBANY GENERAL HOSPITAL Albany, OR facility · fee schedule · outpatient | 1 | $341 | $341 | — | — | — | $341 – $341 |
| 2 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 4 | $244 | $238 | $39 | 16% | — | $182 – $283 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT percent of total billed charges · inpatientfrom % of charges | 4 | $754 | $885 | $546 | 62% | — | $279 – $1.7k |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 4 | $244 | $238 | $39 | 16% | — | $182 – $283 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT percent of total billed charges · inpatientfrom % of charges | 4 | $754 | $885 | $546 | 62% | — | $279 – $1.7k |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 4 | $244 | $238 | $39 | 16% | — | $182 – $283 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT percent of total billed charges · inpatientfrom % of charges | 4 | $754 | $885 | $546 | 62% | — | $279 – $1.7k |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient | 4 | $244 | $238 | $39 | 16% | — | $182 – $283 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT percent of total billed charges · inpatientfrom % of charges | 5 | $754 | $924 | $569 | 62% | — | $279 – $1.7k |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT percent of total billed charges · outpatientfrom % of charges | 1 | $998 | $998 | $582 | 58% | — | $416 – $1.6k |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 4 | $244 | $238 | $39 | 16% | — | $182 – $283 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT percent of total billed charges · inpatientfrom % of charges | 4 | $754 | $885 | $546 | 62% | — | $279 – $1.7k |
| 13 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR facility · fee schedule · outpatient | 1 | $341 | $341 | — | — | — | $341 – $341 |
| 14 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · outpatient | 1 | $346 | $346 | — | — | — | $346 – $346 |
| 15 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 1 | $184 | $184 | — | — | — | $184 – $184 |
| 16 | IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital Ogden, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $348 | $346 | $23 | 7% | — | $312 – $376 |
| 17 | IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital Ogden, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $349 | $346 | $26 | 8% | — | $312 – $376 |
| 18 | IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital Provo, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $268 | $265 | $19 | 7% | — | $235 – $290 |
| 19 | IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital Provo, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $269 | $264 | $22 | 8% | — | $235 – $290 |
| 20 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 1 | $481 | $481 | — | — | — | $481 – $481 |
| 21 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 22 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 4 | $400 | $412 | $23 | 6% | — | $395 – $451 |
| 23 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 4 | $167 | $163 | $7 | 4% | — | $150 – $167 |
| 24 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 4 | $400 | $412 | $23 | 6% | — | $395 – $451 |
| 25 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 1 | $251 | $251 | — | — | — | $251 – $251 |
← Payers reporting HCPCS J1595 · Snapshot 20261111T120946Z-9134e7f7