Tofersen injection, per 1 mg at Fairview Maple Grove Surgery Center

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TOFERSEN 100 MG/15ML IT SOLN

Maple Grove, MN

See all hospitals reporting HCPCS J1304 →

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Pricing by billing methodology

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $172 is 8% below the median hospital's median price ($186), higher than 43% of the 1,139 hospitals reporting HCPCS J1304. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1304 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 8 payers, 24 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	Ucare mhcp fee schedule · both	$149	$149	—	—	—	$149 – $149
2	Blue Cross Blue Shield federal fee schedule · both	$151	$151	—	—	—	$151 – $151
3	Blue Cross Blue Shield commercial fee schedule · both	$154	$154	—	—	—	$154 – $154
4	Medica accessability fee schedule · both	$154	$154	—	—	—	$154 – $154
5	Medica medicaid fee schedule · both	$154	$154	—	—	—	$154 – $154
6	UnitedHealthcare medicare advantage fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
7	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$163	$163	—	—	—	$163 – $163
8	Medica ma non-snp fee schedule · both	$165	$165	—	—	—	$165 – $165
9	Medica ma snp fee schedule · both	$165	$165	—	—	—	$165 – $165
10	Medica prime solution fee schedule · both	$165	$165	—	—	—	$165 – $165
11	Medica vantage fee schedule · both	$165	$165	—	—	—	$165 – $165
12	Medicaid medicaid fee schedule · both	$166	$166	—	—	—	$166 – $166
13	Blue Cross Blue Shield medicaid fee schedule · both	$167	$167	—	—	—	$167 – $167
14	Cigna commercial fee schedule · both	$180	$180	$16	9%	—	$164 – $196
15	Ucare ifp with fairview fee schedule · outpatient	$270	$270	—	—	—	$270 – $270
16	UnitedHealthcare commercial fee schedule · both	$279	$279	—	—	—	$279 – $279
17	Cigna commercial fee schedule · outpatient	$281	$281	$24	9%	—	$257 – $305
18	Medica bold fee schedule · both	$284	$284	—	—	—	$284 – $284
19	Medica choice without / elect fee schedule · both	$316	$316	—	—	—	$316 – $316
20	Medica city of st paul / essential uplan fee schedule · both	$316	$316	—	—	—	$316 – $316
21	Medica choice with fee schedule · both	$327	$327	—	—	—	$327 – $327
22	Ucare ifp fee schedule · outpatient	$360	$360	—	—	—	$360 – $360
23	First Health commercial percent of total billed charges · outpatientfrom % of charges	$521	$521	—	—	—	$521 – $521
24	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$541	$541	—	—	—	$541 – $541

Last updated: May 18, 2026

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