J141300 (HCPCS) — raw rate rows

HCPCS · raw rates

J141300 — Inj Delandistrogene Mox Rokl

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

View state-by-state → View hospital-by-hospital →

Typical negotiated price $3,392,000

Usually $3,392,000–$3,392,000 (25th–75th percentile) across 2 hospitals · 1 payer.

“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J141300 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

Estimated complete episode

What this costs at this hospital

The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).

What hospitals actually negotiate Measured

$3,392,000 $3,392,000 typical $3,392,000

The middle 50% of negotiated facility rates for this procedure, measured across 2 hospitals.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data.	$3,392,000
Likely subtotal	$3,392,000

Facility charge (no separate professional fee) $3,392,000

This is a drug/supply code billed by the facility; there is no separate professional fee to estimate — the figure above is the facility charge only.

How each figure is sourced

Hospital facility (actual): source: Hospital MRF (45 CFR 180)

Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).

Estimate your cost

What would you pay?

Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

Loading estimate…

Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.

Hospital rates (per row)

Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.

Hospital	Payer	Plan	Negotiated rate	Gross	Cash	Observed	Source
Ira Davenport Memorial Hospital OutpatientFacility	Empire	All Products MD	$3,392,000.00	—	—	2026-03-27	MRF ↗
Ira Davenport Memorial Hospital OutpatientFacility	Empire	All Products Non MD	$3,392,000.00	—	—	2026-03-27	MRF ↗
ARNOT OGDEN MEDICAL CENTER OutpatientFacility	Empire	All Products Non MD	$3,392,000.00	—	—	2026-03-27	MRF ↗
ARNOT OGDEN MEDICAL CENTER OutpatientFacility	Empire	All Products MD	$3,392,000.00	—	—	2026-03-27	MRF ↗