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
GLATIRAMER 20MG/1ML SYR
Northridge, CA
See all hospitals reporting HCPCS J1595 →Price type
Dignity Community Care’s median price of $204 is about the same as the median hospital's median price ($204), higher than 50% of the 1,384 hospitals reporting HCPCS J1595. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 26 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 commercial|all other plans fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 2 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 3 | Anthem commercial|all other plans fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 4 | Anthem commercial|mcs fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 5 | Anthem commercial|vivity fee schedule · outpatient | $149 | $149 | — | — | — | $149 – $149 |
| 6 | Aetna commercial|all other plans fee schedule · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 7 | Aetna commercial|hmo fee schedule · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 8 | Aetna commercial|ppo fee schedule · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 9 | Aetna medicare|all plans case rate · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 10 | Anthem medicare|all plans case rate · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 11 | Blue Cross Blue Shield medicare|all other plans case rate · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 12 | First Health commercial|all plans case rate · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 13 | Humana commercial|all plans case rate · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 14 | Humana medicare|all plans case rate · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 15 | Kaiser medicare|all plans fee schedule · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 16 | Molina medicare|all plans case rate · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 17 | UnitedHealthcare medicare|all plans case rate · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 18 | Anthem medicaid|< 21 fee schedule · outpatient | $215 | $215 | — | — | — | $215 – $215 |
| 19 | Anthem medicaid|> 21 fee schedule · outpatient | $215 | $215 | — | — | — | $215 – $215 |
| 20 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $283 | $283 | — | — | — | $283 – $283 |
| 21 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $283 | $283 | — | — | — | $283 – $283 |
| 22 | Cigna commercial|all other plans fee schedule · outpatient | $378 | $378 | — | — | — | $378 – $378 |
| 23 | Cigna commercial|ppo fee schedule · outpatient | $378 | $378 | — | — | — | $378 – $378 |
| 24 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $558 | $558 | — | — | — | $558 – $558 |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $687 | $687 | — | — | — | $687 – $687 |
Last updated: Feb 28, 2026
See Glatiramer acetate injection, 20 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.