HCPCS J1304

Injection, tofersen, 1 mg

Current code28 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS J1304 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$136 – $92613 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$193 – $6549 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$169 – $3463 plans——
Island HospitalAnacortes$160 – $3356 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$151 – $5909 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$192 – $3838 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$235 – $1,1997 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$181 – $67914 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$181 – $67914 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$217 – $6799 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$217 – $65210 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$140 – $44411 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$118 – $53113 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$151 – $99612 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$151 – $49311 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$128 – $37111 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$151 – $93310 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$136 – $52213 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$181 – $40612 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$151 – $35511 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$151 – $57218 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$151 – $57212 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$181 – $67914 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$169 – $50011 plans——
Virginia Mason Medical CenterSeattle$154 – $5517 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$4041 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$251 – $37711 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national)
$165 (APC 9262)
Surgery center payment (national)
$165