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 →

Payer comparison · HCPCS Q2043 · LOVELAND, CO

Q2043 — Sipuleucel-t Auto Cd54+

What each payer pays MEDICAL CENTER OF THE ROCKIES (CCN 060119) 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.

$247,803 All-payer median here
$255,787 Cash / self-pay here
22 payer/plan-name variants
← This hospital National rates for Q2043 →
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
   
First Choice of the Midwest $354,448 43.0% 1
PHCS (Private Healthcare Systems) $332,523 34.2% 1
MultiPlan $332,523 34.2% 1
Midlands Choice $328,869 32.7% 1
Rocky Mountain Health Plans $288,336 16.4% 2
Meritain Health $266,998 7.7% 2
Simplified Benefits Administration $255,970 3.3% 4
UnitedHealthcare $247,803 0.0% 8
Colorado Access $247,803 0.0% 1
Colorado Community Health Alliance (CCHA) $247,803 0.0% 1
DENVER HEALTH MEDICAL PLAN INC $244,940 -1.2% 2
Aetna $240,833 -2.8% 6
Anthem CU Trust $227,102 -8.4% 1
Anthem (Elevance Health) $213,415 -13.9% 10
Anthem BCBS of Colorado $208,939 -15.7% 2
Cigna Healthcare $163,486 -34.0% 10
Anthem Pathway Standard $160,132 -35.4% 2
Devoted Health $151,538 -38.8% 2
Centers for Medicare & Medicaid Services $151,538 -38.8% 2
Kaiser Permanente $151,538 -38.8% 2
Humana $151,538 -38.8% 2
SelectHealth $138,499 -44.1% 6

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.