Tofersen injection, per 1 mg at Southeast Texas - Jasper Memorial

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

INJ TOFERSEN INTRATHEC 1 MG

Jasper, TX

See all hospitals reporting HCPCS J1304 →

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $168 is 11% below the median hospital's median price ($188), higher than 39% of the 1,135 hospitals reporting HCPCS J1304. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1304 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 7 payers, 19 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 all payer fee schedule · outpatient	$155	$155	—	—	—	$155 – $155
2	UnitedHealthcare hix fee schedule · outpatient	$155	$155	—	—	—	$155 – $155
3	Aetna mm fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
4	Bcbs Tx mm fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
5	Humana gold choice mm fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
6	Molina medicare adv mm fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
7	UnitedHealthcare mm fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
8	WellCare mm fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
9	Devoted mm fee schedule · outpatient	$169	$169	—	—	—	$169 – $169
10	Aetna new business fee schedule · outpatient	$278	$278	—	—	—	$278 – $278
11	Aetna epo fee schedule · outpatient	$309	$309	—	—	—	$309 – $309
12	Aetna hmo fee schedule · outpatient	$309	$309	—	—	—	$309 – $309
13	Aetna pos fee schedule · outpatient	$309	$309	—	—	—	$309 – $309
14	Aetna ppo fee schedule · outpatient	$309	$309	—	—	—	$309 – $309
15	Bcbs Tx blue advantage hmo fee schedule · outpatient	$740	$740	—	—	—	$740 – $740
16	Bcbs Tx heb fee schedule · outpatient	$814	$814	—	—	—	$814 – $814
17	Bcbs Tx hmo fee schedule · outpatient	$814	$814	—	—	—	$814 – $814
18	Bcbs Tx ppo fee schedule · outpatient	$932	$932	—	—	—	$932 – $932
19	Bcbs Tx traditional fee schedule · outpatient	$960	$960	—	—	—	$960 – $960

Last updated: Jan 13, 2026

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