Payer comparison · HCPCS Q2042 · DAYTONA BEACH, FL

Q2042 — Tisagenlecleucel Car-pos T

What each payer pays ADVENTHEALTH DAYTONA BEACH (CCN 100068) 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.

$626,202 All-payer median here

$613,247 Cash / self-pay here

28 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

Zelis	$1,379,805	120.3%	1
MultiPlan	$1,333,812	113.0%	1
BeechStreet Corporation	$1,226,494	95.9%	2
National_Healthcare_Solutions	$1,073,182	71.4%	1
HealthOne_Alliance	$1,073,182	71.4%	1
Oscar Health	$1,042,718	66.5%	1
PHCS (Private Healthcare Systems)	$996,526	59.1%	1
GMMI Inc	$996,526	59.1%	1
AvMed	$975,062	55.7%	2
Plotkin	$958,198	53.0%	1
UPMC Health Plan	$759,990	21.4%	2
Aetna	$745,095	19.0%	9
UnitedHealthcare	$731,297	16.8%	7
FLORIDA HEALTH CARE PLAN	$716,732	14.5%	4
Cigna Healthcare	$715,199	14.2%	4
BCBS of Florida (Florida Blue)	$586,417	-6.4%	7
Humana	$572,134	-8.6%	7
WellCare Health Plans	$560,094	-10.6%	1
Optimum	$560,094	-10.6%	1
Devoted Health	$560,094	-10.6%	1
Sunshine Health	$560,094	-10.6%	3
FREEDOM HEALTH PLAN	$560,094	-10.6%	1
HealthFirst_Plans	$523,453	-16.4%	1
Advanced Medical Pricing Solutions (AMPS)	$401,677	-35.9%	1
HEALTH FIRST HEALTH PLANS NATIONAL	$349,551	-44.2%	1
Simply Healthcare Plans	$27,810	-95.6%	4
Molina Healthcare	$27,071	-95.7%	1
Florida Complete Care	$26,333	-95.8%	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.