J3404 — Inj Zopapogene Per Ther Dose
Cite this view
HANK Price Transparency. (n.d.). Inj zopapogene per ther dose (HCPCS J3404) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J3404?code_type=HCPCS
“Inj zopapogene per ther dose (HCPCS J3404) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J3404?code_type=HCPCS. Accessed .
“Inj zopapogene per ther dose (HCPCS J3404) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J3404?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
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).
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 |
- 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).
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 ↗ |