Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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J3404 — Inj Zopapogene Per Ther Dose

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

Typical negotiated price $121,900

Usually $63,754–$121,900 (25th–75th percentile) across 10 hospitals · 27 payers.

“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J3404 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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).

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$63,754 $121,900 typical $121,900

The middle 50% of negotiated facility rates for this procedure, measured across 10 hospitals.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $121,900
Likely subtotal $121,900
Facility charge (no separate professional fee) $121,900
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).

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
NICKLAUS CHILDREN'S HOSPITAL OutpatientFacility Cigna Surfit/Local Plus $2,408.00 2026-04-01 MRF ↗
NICKLAUS CHILDREN'S HOSPITAL OutpatientFacility Cigna Hmo/Ppo $2,675.00 2026-04-01 MRF ↗
RIVERSIDE WALTER REED HOSPITAL Outpatient Anthem Managed Medicaid $32,400.21 2026-01-02 MRF ↗
RIVERSIDE WALTER REED HOSPITAL Outpatient United Healthcare Managed Medicaid $32,400.21 2026-01-02 MRF ↗
RIVERSIDE WALTER REED HOSPITAL Outpatient Aetna Managed Medicaid $32,400.21 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Aetna Managed Medicaid $32,603.97 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Aetna Managed Medicaid $32,603.97 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient United Healthcare Managed Medicaid $32,603.97 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Anthem Managed Medicaid $32,603.97 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient United Healthcare Managed Medicaid $32,603.97 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Anthem Managed Medicaid $32,603.97 2026-01-02 MRF ↗
RIVERSIDE WALTER REED HOSPITAL Outpatient Sentara Health Plans Managed Medicaid $33,216.70 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Sentara Health Plans Managed Medicaid $33,425.59 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Sentara Health Plans Managed Medicaid $33,425.59 2026-01-02 MRF ↗
RIVERSIDE WALTER REED HOSPITAL Outpatient Humana Managed Medicaid $34,020.22 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Humana Managed Medicaid $34,234.17 2026-01-02 MRF ↗
RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient Humana Managed Medicaid $34,234.17 2026-01-02 MRF ↗
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility Blue Cross Complete Managed Medicaid $63,753.70 2026-04-17 MRF ↗
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility McLaren Health Plan Managed Medicaid $63,753.70 2026-04-17 MRF ↗
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility United Healthcare Managed Medicaid $63,753.70 2026-04-17 MRF ↗
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility Priority Health Managed Medicaid $63,753.70 2026-04-17 MRF ↗
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility Molina Managed Medicaid $63,753.70 2026-04-17 MRF ↗
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility Meridian Managed Medicaid $63,753.70 2026-04-17 MRF ↗
PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility Priority Health Managed Medicaid $85,939.50 2026-04-17 MRF ↗
PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility Meridian Managed Medicaid $85,939.50 2026-04-17 MRF ↗
PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility McLaren Health Plan Managed Medicaid $85,939.50 2026-04-17 MRF ↗
PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility Blue Cross Complete Managed Medicaid $85,939.50 2026-04-17 MRF ↗
PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility United Healthcare Managed Medicaid $85,939.50 2026-04-17 MRF ↗
PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility Molina Managed Medicaid $85,939.50 2026-04-17 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility Blue Cross Blue Shield of Alabama Medicare Advantage $119,462.00 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility Blue Cross Blue Shield of Alabama Medicare Advantage $119,462.00 2026-04-30 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility Devoted Health Medicare Advantage $121,900.00 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility Humana Medicare Advantage/HMO $121,900.00 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility Humana Medicare Advantage/PPO $121,900.00 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility Devoted Health Medicare Advantage $121,900.00 2026-04-30 MRF ↗
DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility Aetna Healthcare Medicare Advantage $121,900.00 2026-04-30 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility VIVA Health Medicare Advantage $121,900.00 2026-04-30 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility Aetna Medicare Advantage $121,900.00 2026-04-30 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility WellCare Medicare Advantage $121,900.00 2026-04-30 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility Humana Medicare Advantage/HMO $121,900.00 2026-04-30 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility Humana Medicare Advantage/PPO $121,900.00 2026-04-30 MRF ↗
DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility Denver Health Medical Plan Medicare Advantage $121,900.00 2026-04-30 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility United Healthcare Medicare Advantage $121,900.00 2026-04-30 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility United Healthcare VACCN $121,900.00 2026-04-30 MRF ↗
TUCSON MEDICAL CENTER OutpatientFacility Arizona Complete Medicare Advantage $121,900.00 2026-04-30 MRF ↗
TUCSON MEDICAL CENTER OutpatientFacility Blue Cross Blue Shield Medicare Advantage $121,900.00 2026-04-30 MRF ↗
TUCSON MEDICAL CENTER OutpatientFacility Alignment Medicare Advantage $121,900.00 2026-04-30 MRF ↗
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility Medicare Plus Blue Medicare Advantage $121,900.00 2026-04-17 MRF ↗
SAINT ANTHONY HOSPITAL OutpatientFacility Blue Cross Blue Shield of Illinois Medicare Advantage $121,900.00 2026-04-28 MRF ↗
SAINT ANTHONY HOSPITAL OutpatientFacility United Healthcare Medicare Advantage $121,900.00 2026-04-28 MRF ↗
SAINT ANTHONY HOSPITAL OutpatientFacility Zing Health Medicare Advantage $121,900.00 2026-04-28 MRF ↗
SAINT ANTHONY HOSPITAL OutpatientFacility Humana Medicare Advantage $121,900.00 2026-04-28 MRF ↗
SAINT ANTHONY HOSPITAL OutpatientFacility Aetna HMO/POS/PPO $121,900.00 2026-04-28 MRF ↗
SAINT ANTHONY HOSPITAL OutpatientFacility Aetna Medicare Advantage $121,900.00 2026-04-28 MRF ↗
SAINT ANTHONY HOSPITAL OutpatientFacility Cigna Healthspring Advantage HMO/Premier HMO-POS/Primary HMO $121,900.00 2026-04-28 MRF ↗
SAINT ANTHONY HOSPITAL OutpatientFacility Oak Street Health Medicare Advantage $121,900.00 2026-04-28 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility WellCare Medicare Advantage $121,900.00 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility United Healthcare Medicare Advantage $121,900.00 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility United Healthcare VACCN $121,900.00 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility VIVA Health Medicare Advantage $121,900.00 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility Cigna Healthspring Medicare Advantage $121,900.00 2026-04-30 MRF ↗
DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility CMS Medicare $121,900.00 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility Aetna Medicare Advantage $121,900.00 2026-04-30 MRF ↗
SAINT ANTHONY HOSPITAL OutpatientFacility Aetna HMO/POS/PPO $121,900.00 2026-04-28 MRF ↗
SAINT ANTHONY HOSPITAL OutpatientFacility Blue Cross Blue Shield of Illinois Medicare Advantage $121,900.00 2026-04-28 MRF ↗
SAINT ANTHONY HOSPITAL OutpatientFacility Oak Street Health Medicare Advantage $121,900.00 2026-04-28 MRF ↗
SAINT ANTHONY HOSPITAL OutpatientFacility Cigna Healthspring Advantage HMO/Premier HMO-POS/Primary HMO $121,900.00 2026-04-28 MRF ↗
SAINT ANTHONY HOSPITAL OutpatientFacility United Healthcare Medicare Advantage $121,900.00 2026-04-28 MRF ↗
SAINT ANTHONY HOSPITAL OutpatientFacility Zing Health Medicare Advantage $121,900.00 2026-04-28 MRF ↗
SAINT ANTHONY HOSPITAL OutpatientFacility Humana Medicare Advantage $121,900.00 2026-04-28 MRF ↗
SAINT ANTHONY HOSPITAL OutpatientFacility Aetna Medicare Advantage $121,900.00 2026-04-28 MRF ↗
TUCSON MEDICAL CENTER OutpatientFacility Humana Medicare Advantage $123,728.50 2026-04-30 MRF ↗
TUCSON MEDICAL CENTER OutpatientFacility CareMore/Carelon/Wellpoint Medicare Advantage $124,338.00 2026-04-30 MRF ↗
TUCSON MEDICAL CENTER OutpatientFacility United Healthcare Medicare Advantage $124,338.00 2026-04-30 MRF ↗
TUCSON MEDICAL CENTER OutpatientFacility Devoted Medicare Advantage $130,433.00 2026-04-30 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility Molina Marketplace Medicare Advantage $134,090.00 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility Molina Marketplace Medicare Advantage $134,090.00 2026-04-30 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility Ambetter Commercial/Exchange $146,280.00 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility Ambetter Commercial/Exchange $146,280.00 2026-04-30 MRF ↗
TUCSON MEDICAL CENTER OutpatientFacility Arizona Complete Marketplace $156,032.00 2026-04-30 MRF ↗
USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility Mississippi Physicians Care Network (MPCN) Commercial $164,565.00 2026-04-30 MRF ↗
USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility Mississippi Physicians Care Network (MPCN) Commercial $164,565.00 2026-04-30 MRF ↗
TUCSON MEDICAL CENTER OutpatientFacility Blue Cross/Health Choice Marketplace $182,850.00 2026-04-30 MRF ↗
DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility Denver Health Medical Plan Elevate HMO/POS/PPO $198,477.58 2026-04-30 MRF ↗