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 Q2042 · AURORA, CO

Q2042 — Tisagenlecleucel Car-pos T

What each payer pays CHILDREN'S HOSPITAL COLORADO (CCN 063301) 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.

$447,896 All-payer median here
$570,848 Cash / self-pay here
40 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
   
First Health Network $596,358 33.1% 2
USA Managed Care Organization $583,394 30.3% 2
COFINITY $583,394 30.3% 2
First Choice of the Midwest $583,394 30.3% 2
MultiPlan $557,465 24.5% 2
Midlands Choice $550,983 23.0% 2
ComPsych Corporation $550,983 23.0% 2
National Preferred Provider Network $550,983 23.0% 2
First Choice Health $550,983 23.0% 2
Aetna $469,851 4.9% 5
Cigna Healthcare $469,851 4.9% 4
Department of Corrections $469,851 4.9% 3
Molina Healthcare of Nebraska $469,851 4.9% 1
Molina Healthcare of New Mexico $469,851 4.9% 1
MotivHealth/Denver Public Schools $469,851 4.9% 1
Rocky Mountain Health Plan $469,851 4.9% 5
SelectHealth $469,851 4.9% 3
United Behavioral Health/Optum $469,851 4.9% 1
ValueOptions Colorado $469,851 4.9% 1
UnitedHealthcare $458,874 2.5% 8
UC HEALTH PLAN ADMINISTRATORS $453,750 1.3% 2
Interlink National $447,896 0.0% 6
Life Trac National $447,896 0.0% 1
Anthem (Elevance Health) $447,896 0.0% 9
Humana $447,896 0.0% 5
Blue Cross Blue Shield Association $447,896 0.0% 1
Centivo $447,268 -0.1% 2
Colorado Medicaid $439,234 -1.9% 2
Colorado Access $430,331 -3.9% 3
Colorado Access Behavioral Health $430,331 -3.9% 3
Evernorth Health Services $421,340 -5.9% 2
Presbyterian Health Plan $421,340 -5.9% 4
DENVER HEALTH MEDICAL PLAN INC $395,202 -11.8% 11
Healthy Blue of Nebraska $375,965 -16.1% 2
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS) $366,973 -18.1% 4
Carelon Behavioral Health $343,972 -23.2% 4
Kaiser Permanente $305,288 -31.8% 7
Rocky Mountain Health Plan Behavioral Health $259,286 -42.1% 2
Integrated Health Plan $97,232 -78.3% 2
CCHA Behavioral Health $87,823 -80.4% 3

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.