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
TOFER 100MG/15MLSDVJWTB
Phoenix, AZ
See all hospitals reporting HCPCS J1304 →Price type
Dignity Health’s median price of $41.0k is 21885% above the median hospital's median price ($186), higher than 99% 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, 7 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 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $13.0k | $13.0k | — | — | — | $13.0k – $13.0k |
| 2 | Optum commercial|optumhealth fee schedule · outpatient | $32.1k | $32.1k | — | — | — | $32.1k – $32.1k |
| 3 | Cigna commercial|lifesource fee schedule · outpatient | $37.6k | $37.6k | — | — | — | $37.6k – $37.6k |
| 4 | First Health commercial|all plans fee schedule · inpatient | $47.8k | $47.8k | — | — | — | $47.8k – $47.8k |
| 5 | First Health commercial|all plans fee schedule · outpatient | $47.8k | $47.8k | — | — | — | $47.8k – $47.8k |
| 6 | MultiPlan commercial|all plans fee schedule · inpatient | $54.0k | $54.0k | — | — | — | $54.0k – $54.0k |
| 7 | MultiPlan commercial|all plans fee schedule · outpatient | $54.0k | $54.0k | — | — | — | $54.0k – $54.0k |
Last updated: Feb 28, 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.