Payer comparison · HCPCS Q2042 · NEW SMYRNA BEACH, FL

Q2042 — Tisagenlecleucel Car-pos T

What each payer pays ADVENTHEALTH NEW SMYRNA BEACH (CCN 100014) 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.

$1,283,977 All-payer median here

$907,056 Cash / self-pay here

27 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

Advanced Medical Pricing Solutions (AMPS)	$3,968,368	209.1%	1
Zelis	$2,040,875	58.9%	1
MultiPlan	$1,950,170	51.9%	1
AvMed	$1,775,562	38.3%	2
BeechStreet Corporation	$1,587,347	23.6%	1
National_Healthcare_Solutions	$1,587,347	23.6%	1
PHCS (Private Healthcare Systems)	$1,473,965	14.8%	1
GMMI Inc	$1,439,950	12.1%	2
Aetna	$1,428,613	11.3%	9
Plotkin	$1,417,274	10.4%	1
UnitedHealthcare	$1,365,118	6.3%	10
BCBS of Florida (Florida Blue)	$1,339,041	4.3%	7
Cigna Healthcare	$1,324,301	3.1%	3
Oscar Health	$1,283,977	0.0%	1
FLORIDA HEALTH CARE PLAN	$1,138,355	-11.3%	1
HEALTH FIRST HEALTH PLANS NATIONAL	$1,086,059	-15.4%	1
UPMC Health Plan	$998,709	-22.2%	2
FREEDOM HEALTH PLAN	$560,094	-56.4%	1
WellCare Health Plans	$560,094	-56.4%	1
Sunshine Health	$560,094	-56.4%	3
Devoted Health	$560,094	-56.4%	1
Optimum	$560,094	-56.4%	1
Humana	$531,304	-58.6%	4
HealthFirst_Plans	$523,453	-59.2%	1
Simply Healthcare Plans	$27,810	-97.8%	4
Molina Healthcare	$27,071	-97.9%	1
Florida Complete Care	$26,333	-97.9%	1

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.