Price Transparencybeta 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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J3405 — Injection, Onasemnogene Abeparvovec-brve, Per Treatment

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 $2,664,229

Usually $2,211,310–$2,797,440 (25th–75th percentile) across 7 hospitals · 66 payers.

“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J3405 — 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
$2,211,310 $2,664,229 typical $2,797,440

The middle 50% of negotiated facility rates for this procedure, measured across 7 hospitals.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $2,664,229
Likely subtotal $2,664,229
Facility charge (no separate professional fee) $2,664,229

Not included in this estimate:

  • Rehab, physical therapy, and other post-acute care after discharge
  • Complications, revisions, or readmissions
  • Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)

The biggest swing: your remaining deductible and out-of-pocket max — enter your own plan terms to tighten this.

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
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient FORD, BACON & DAVIS LLC - ALL PLANS FORD, BACON & DAVIS LLC - ALL PLANS $7,122,500.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient VANTAGE HEALTH PLAN - ALL OTHER PLANS VANTAGE HEALTH PLAN - ALL OTHER PLANS $7,865,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient HUMANA - ALL OTHER PLANS HUMANA - ALL OTHER PLANS $7,700,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient LSU FIRST CHOICE (WEBTPA) - ALL PLANS LSU FIRST CHOICE (WEBTPA) - ALL PLANS $15,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient HST - ALL PLANS HST - ALL PLANS $7,150,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient AMERIHLTH CARITAS MCAID - ALL PLANS AMERIHLTH CARITAS MCAID - ALL PLANS $787,050.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient LHC MCAID LHC MCAID $787,050.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient HUMANA HLTHY HORIZONS MCAID HUMANA HLTHY HORIZONS MCAID $787,050.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient HEALTHY BLUE MCAID HEALTHY BLUE MCAID $787,050.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient MAGELLAN MCAID MAGELLAN MCAID $787,050.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient AETNA BETTER HLTH MCAID AETNA BETTER HLTH MCAID $787,050.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient UHC MCAID UHC MCAID $795,575.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient BRC EMPLOYEES WEBTPA - ALL PLANS BRC EMPLOYEES WEBTPA - ALL PLANS $1,009,800.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient LWHA (WEBTPA) - ALL PLANS LWHA (WEBTPA) - ALL PLANS $1,304,600.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient BEACON BEHAV HLTH - ALL PLANS BEACON BEHAV HLTH - ALL PLANS $1,375,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient AETNA - ALL OTHER PLANS AETNA - ALL OTHER PLANS $1,485,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient CIGNA - ALL OTHER PLANS CIGNA - ALL OTHER PLANS $1,600,500.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient UHC EXCHANGE COMPASS UHC EXCHANGE COMPASS $1,643,675.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient UHC NEXUS ACO UHC NEXUS ACO $1,643,675.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient FIRST HEALTH - ALL PLANS FIRST HEALTH - ALL PLANS $1,866,975.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient UHC COMM COFFEE GRP UHC COMM COFFEE GRP $1,906,025.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient WOMEN'S HOSPITAL FOUND - ALL PLANS WOMEN'S HOSPITAL FOUND - ALL PLANS $1,925,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient UHC - ALL OTHER PLANS UHC - ALL OTHER PLANS $1,980,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility Healthsmart Commercial $1,998,171.44 — — 2026-09-25 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient PPO PLUS PLATINUM PPO PLUS PLATINUM $2,062,500.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient PPO PLUS LLC - ALL OTHER PLANS PPO PLUS LLC - ALL OTHER PLANS $2,062,500.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient GILSBAR 360 ALLIANCE - ALL PLANS GILSBAR 360 ALLIANCE - ALL PLANS $2,090,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
SOUTH BROOKLYN HEALTH OutpatientFacility Elderplan MAP_Medicare Advantage_MLTC $5,328,457.18 — — 2026-09-05 MRF ↗
SOUTH BROOKLYN HEALTH OutpatientFacility Healthfirst Medicare Advantage PPO $2,211,309.73 — — 2026-09-05 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient UNITED BEHAV MCR UNITED BEHAV MCR $2,255,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient UNITED BEHAV HEALTH - ALL OTHER PLANS UNITED BEHAV HEALTH - ALL OTHER PLANS $2,255,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient CIGNA BEHAV HLTH CIGNA BEHAV HLTH $2,337,500.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient ALC/PHCS - ALL PLANS ALC/PHCS - ALL PLANS $2,337,500.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient MHNET- ALL PLANS MHNET- ALL PLANS $2,337,500.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient MAGELLAN BEHAVIORAL HEALTH - ALL OTHER PLANS MAGELLAN BEHAVIORAL HEALTH - ALL OTHER PLANS $2,337,500.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient WORKERS COMP - ALL PLANS WORKERS COMP - ALL PLANS $2,475,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient MCCP - ALL PLANS MCCP - ALL PLANS $2,475,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient NEW DIRECTIONS BEHAV HEALTH - ALL PLANS NEW DIRECTIONS BEHAV HEALTH - ALL PLANS $2,475,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient CHOICE CARE - ALL PLANS CHOICE CARE - ALL PLANS $2,475,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient BRG EMP VERITY HEALTHNET - ALL PLANS BRG EMP VERITY HEALTHNET - ALL PLANS $2,475,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
SUMMIT MEDICAL CENTER Outpatient Medicare Medicare $2,489,828.19 — — 2026-08-30 MRF ↗
SUMMIT MEDICAL CENTER Outpatient MCAdvantage MCAdvantage $2,489,828.19 — — 2026-08-30 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient MULTIPLAN - ALL PLANS MULTIPLAN - ALL PLANS $2,502,500.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility TennCare Medicaid Managed Care Plan $2,531,017.16 — — 2026-09-01 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient USA MCO - ALL PLANS USA MCO - ALL PLANS $2,585,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility Blue Cross Network P Other Commercial Plan $2,586,629.70 — — 2026-09-01 MRF ↗
METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility Blue Cross Network S Other Commercial Plan $2,586,629.70 — — 2026-09-01 MRF ↗
SOUTH BROOKLYN HEALTH OutpatientFacility Healthfirst MEDICARE ADVANTAGE $2,610,944.02 — — 2026-09-05 MRF ↗
SOUTH BROOKLYN HEALTH OutpatientFacility Healthfirst MAP $2,610,944.02 — — 2026-09-05 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient THREE RIVERS NETWORK - ALL PLANS THREE RIVERS NETWORK - ALL PLANS $2,612,500.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient TRIWEST - ALL PLANS TRIWEST - ALL PLANS $2,612,500.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
SOUTH BROOKLYN HEALTH OutpatientFacility VillageCare Max MEDICARE ADVANTAGE $2,664,228.59 — — 2026-09-05 MRF ↗
HOLY REDEEMER HOSPITAL AND MEDICAL CENTER OutpatientFacility Keystone Family Health Plan Managed Medicaid $2,664,228.59 — — 2026-09-21 MRF ↗
SOUTH BROOKLYN HEALTH OutpatientFacility Centerlight PACE $2,664,228.59 — — 2026-09-05 MRF ↗
METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility Aetna Medicare Managed Care Plan $2,664,228.59 — — 2026-09-01 MRF ↗
SOUTH BROOKLYN HEALTH OutpatientFacility Amidacare Managed Medicaid $2,664,228.59 — — 2026-09-05 MRF ↗
SOUTH BROOKLYN HEALTH OutpatientFacility Senior Whole Health MLTC $2,664,228.59 — — 2026-09-05 MRF ↗
SOUTH BROOKLYN HEALTH OutpatientFacility VillageCare Max MAP $2,664,228.59 — — 2026-09-05 MRF ↗
METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility HealthSpring Medicare Managed Care Plan $2,690,870.88 — — 2026-09-01 MRF ↗
HOLY REDEEMER HOSPITAL AND MEDICAL CENTER OutpatientFacility Independence Blue Cross Medicare Advantage $2,690,870.88 — — 2026-09-21 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient HEART OF HOSPICE OP ONLY - ALL PLANS HEART OF HOSPICE OP ONLY - ALL PLANS $2,729,940.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient UHC MCR ADV UHC MCR ADV $2,729,940.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient COVENTRY MCR ADV - ALL PLANS COVENTRY MCR ADV - ALL PLANS $2,750,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient HUMANA MCR ADV HUMANA MCR ADV $2,750,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient UHC VA CCN UHC VA CCN $2,750,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient AETNA MCR ADV AETNA MCR ADV $2,750,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient BCBS MCR ADV BCBS MCR ADV $2,750,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient VANTAGE MCR ADV VANTAGE MCR ADV $2,750,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient HUMANA TRICARE HUMANA TRICARE $2,750,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient VETERANS ADMIN - ALL PLANS VETERANS ADMIN - ALL PLANS $2,750,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient HEALTHY BLUE MCR ADV - ALL OTHER PLANS HEALTHY BLUE MCR ADV - ALL OTHER PLANS $2,750,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient LHC MCR ADV (ALLWELL) - ALL OTHER PLANS LHC MCR ADV (ALLWELL) - ALL OTHER PLANS $2,750,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient PACE - ALL PLANS PACE - ALL PLANS $2,750,000.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
SOUTH BROOKLYN HEALTH OutpatientFacility UNITED MEDICARE ADVANTAGE $2,797,440.02 — — 2026-09-05 MRF ↗
METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility ZING Medicare Managed Care Plan $2,797,440.02 — — 2026-09-01 MRF ↗
HOLY REDEEMER HOSPITAL AND MEDICAL CENTER OutpatientFacility Health Partners Medicare Advantage $2,797,440.02 — — 2026-09-21 MRF ↗
HOLY REDEEMER HOSPITAL AND MEDICAL CENTER OutpatientFacility Aetna Medicare Advantage $2,824,082.31 — — 2026-09-21 MRF ↗
HOLY REDEEMER HOSPITAL AND MEDICAL CENTER OutpatientFacility Cigna HealthSpring Medicare Advantage $2,824,082.31 — — 2026-09-21 MRF ↗
HOLY REDEEMER HOSPITAL AND MEDICAL CENTER OutpatientFacility Highmark Wholecare $2,837,403.45 — — 2026-09-21 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient PHN- ALL OTHER PLANS PHN- ALL OTHER PLANS $2,866,437.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient WELLCARE - ALL PLANS WELLCARE - ALL PLANS $2,887,500.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility Molina Exchange $2,930,651.45 — — 2026-09-25 MRF ↗
METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility CoreCivic Prisoner Population Government $2,930,651.45 — — 2026-09-01 MRF ↗
SOUTH BROOKLYN HEALTH OutpatientFacility MetroPlus MAP $3,010,578.31 — — 2026-09-05 MRF ↗
SOUTH BROOKLYN HEALTH OutpatientFacility MetroPlus MEDICARE ADVANTAGE $3,010,578.31 — — 2026-09-05 MRF ↗
SOUTH BROOKLYN HEALTH OutpatientFacility MetroPlus EXCHANGE $3,010,578.31 — — 2026-09-05 MRF ↗
SUMMIT MEDICAL CENTER Outpatient HealthChoice HealthChoice $3,037,220.59 — — 2026-08-30 MRF ↗
SUMMIT MEDICAL CENTER Outpatient GlobalHealth GlobalHealth $3,236,776.64 — — 2026-08-30 MRF ↗
SUMMIT MEDICAL CENTER Outpatient Kempton Kempton $3,236,776.64 — — 2026-08-30 MRF ↗
KINGS DAUGHTERS MEDICAL CENTER OHIO OutpatientFacility Buckeye Community Health Plan Commercial $3,330,285.74 — — 2026-09-25 MRF ↗
KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility Buckeye Community Health Plan Exchange $3,330,285.74 — — 2026-09-25 MRF ↗
KINGS DAUGHTERS MEDICAL CENTER OHIO OutpatientFacility Caresource Commercial $5,328,457.18 — — 2026-09-25 MRF ↗
METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility Ambetter Health Exchange $3,729,920.03 — — 2026-09-01 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient PHN EMPLOYEE PLAN PHN EMPLOYEE PLAN $3,987,500.00 $2,750,000.00 $1,375,000.00 2026-10-02 MRF ↗
SOUTH BROOKLYN HEALTH OutpatientFacility OSCAR ALL PRODUCTS $3,996,342.89 — — 2026-09-05 MRF ↗
HOLY REDEEMER HOSPITAL AND MEDICAL CENTER OutpatientFacility Jefferson Health Plan HMO/PPO $3,996,342.89 — — 2026-09-21 MRF ↗
METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility Naphcare Prisoner Population Government $3,996,342.89 — — 2026-09-01 MRF ↗
METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility Oscar Exchange $4,262,765.75 — — 2026-09-01 MRF ↗
KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility Caresource Exchange $4,928,822.89 — — 2026-09-25 MRF ↗