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
Summit, WI
See all hospitals reporting HCPCS J1304 →Price type
Aurora Medical Center Summit’s median price of $190 is 1% above the median hospital's median price ($188), higher than 50% of the 1,135 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: 6 payers, 11 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 | Anthem blue priority fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 2 | UnitedHealthcare charter fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 3 | UnitedHealthcare exchange fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 4 | UnitedHealthcare hmo fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 5 | UnitedHealthcare nexus fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 6 | Aetna hmo fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 7 | Healthpartners employee trust fund fee schedule · outpatient | $181 | $181 | — | — | — | $181 – $181 |
| 8 | Anthem blue preferred fee schedule · outpatient | $186 | $186 | — | — | — | $186 – $186 |
| 9 | Healthpartners robin fee schedule · outpatient | $190 | $190 | — | — | — | $190 – $190 |
| 10 | Cigna ppo-gppo fee schedule · outpatient | $233 | $233 | — | — | — | $233 – $233 |
| 11 | Molina commercial fee schedule · outpatient | $379 | $379 | — | — | — | $379 – $379 |
Last updated: Nov 21, 2025
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.