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
TOFERSEN 100 MG/15 ML (6.7 MG/ML) INTRATHECAL SOLUTION
Rochester, MN
See all hospitals reporting HCPCS J1304 →Price type
Mayo Clinic’s median price of $37.3k is 19928% 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: 18 payers, 72 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 | Optum veteran affairs optum [1045] facility · other · both | $159 | $159 | — | — | — | $159 – $159 |
| 2 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco southern [1123] facility · other · both | $163 | $163 | — | — | — | $163 – $163 |
| 3 | Ucare ucare msho medicare advantage plan [621] facility · other · both | $163 | $163 | — | — | — | $163 – $163 |
| 4 | Medica medica advantage solution by county medicare advantage plan [793] facility · other · both | $164 | $164 | — | — | — | $164 – $164 |
| 5 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [228] facility · other · both | $167 | $167 | — | — | — | $167 – $167 |
| 6 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo [826] facility · other · both | $167 | $167 | — | — | — | $167 – $167 |
| 7 | Ucare ucare connect+ medicare advantage plan [1116] facility · other · both | $168 | $168 | — | — | — | $168 – $168 |
| 8 | UnitedHealthcare united healthcare medicare advantage plan [1249] facility · other · both | $172 | $172 | — | — | — | $172 – $172 |
| 9 | Medica medica advantage solution medicare advantage plan [1206] facility · other · both | $175 | $175 | — | — | — | $175 – $175 |
| 10 | Ucare ucare essentia care medicare advantage plan [779] facility · other · both | $175 | $175 | — | — | — | $175 – $175 |
| 11 | Humana transplant humana medicare advantage plan [1002] facility · other · both | $183 | $183 | — | — | — | $183 – $183 |
| 12 | Blue Cross Blue Shield medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 13 | Blue Cross Blue Shield medicaid base apr drg only [1277] facility · percent of total billed charges · bothfrom % of charges | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 14 | Healthpartners medicaid cah healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 15 | Molina medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 16 | Ucare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 17 | Ucare pps medicaid ucare [1184] facility · percent of total billed charges · bothfrom % of charges | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 18 | UnitedHealthcare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 19 | Blue Cross Blue Shield pps medicaid bcbs [1146] facility · fee schedule · both | $18.4k | $18.4k | — | — | — | $18.4k – $18.4k |
| 20 | Medica medica medicaid [1244] facility · percent of total billed charges · bothfrom % of charges | $19.2k | $19.2k | — | — | — | $19.2k – $19.2k |
| 21 | Medica medica medicare advantage plan msho msc+ cap [167] facility · percent of total billed charges · bothfrom % of charges | $19.8k | $19.8k | — | — | — | $19.8k – $19.8k |
| 22 | Medica medicaid medica choice care msc+ [1175] facility · percent of total billed charges · bothfrom % of charges | $19.8k | $19.8k | — | — | — | $19.8k – $19.8k |
| 23 | Optum medica ma medicare advantage plan behavioral health [1350] facility · percent of total billed charges · bothfrom % of charges | $24.0k | $24.0k | — | — | — | $24.0k – $24.0k |
| 24 | Blue Cross Blue Shield blue cross blue shield aco [851] facility · percent of total billed charges · bothfrom % of charges | $34.6k | $34.6k | — | — | — | $34.6k – $34.6k |
| 25 | Ucare ucare ifp [1108] facility · percent of total billed charges · bothfrom % of charges | $34.6k | $34.6k | — | — | — | $34.6k – $34.6k |
Last updated: Aug 14, 2026
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