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
Inj tofersen intrathec 1 mg
Devils Lake, ND
See all hospitals reporting HCPCS J1304 →Price type
Altru Hospital Devils Lake’s median price of $163 is 12% below the median hospital's median price ($186), higher than 34% of the 1,139 hospitals reporting HCPCS J1304. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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 | Medica medicaid managed care plan facility · fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 4 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 5 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 7 | Aetna medicare managed care plan facility · fee schedule · outpatient | $159 | $159 | — | — | — | $159 – $159 |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $186 | $204 | $33 | 16% | — | $175 – $250 |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $227 | $227 | $60 | 26% | — | $167 – $287 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $312 | $312 | — | — | — | $312 – $312 |
Last updated: Mar 1, 2026
See Tofersen injection, per 1 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.