Payer comparison · HCPCS Q2042 · LOS ANGELES, CA

Q2042 — Tisagenlecleucel Car-pos T

What each payer pays EAST LOS ANGELES DOCTORS HOSPITAL (CCN 050641) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$582,112 All-payer median here

18 payer/plan-name variants

← This hospital National rates for Q2042 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

Provider Network of America (PNOA)	$1,058,386	81.8%	1
Prime Health Services	$1,058,386	81.8%	1
Health Net	$852,794	46.5%	4
Blue Shield of California	$793,789	36.4%	1
Central Health Plan	$687,951	18.2%	1
ONE HEALTH PLAN OF CALIFORNIA	$661,491	13.6%	1
BRAND NEW DAY (FFS)	$582,112	0.0%	1
Providence Health Network/Oscar	$582,112	0.0%	1
Bright Health	$582,112	0.0%	1
Santa Monica Unite Here Health Benefit Trust Fund	$555,652	-4.5%	1
Heritage Provider Network	$555,652	-4.5%	1
AltaMed Health Network	$529,193	-9.1%	1
America's Health Network	$529,193	-9.1%	1
Humana	$529,193	-9.1%	1
Local Initiative Health Authority for LA County	$529,193	-9.1%	1
OMNICARE MEDICAL GROUP (OMNI)	$513,317	-11.8%	1
UnitedHealthcare	$449,814	-22.7%	1
Blue Cross Blue Shield Association	$308,040	-47.1%	2

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.