Payer comparison · HCPCS Q2043 · MIAMI, FL

Q2043 — Sipuleucel-t Auto Cd54+

What each payer pays SOUTH MIAMI HOSPITAL (CCN 100154) 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.

$101,408 All-payer median here

$173,460 Cash / self-pay here

21 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

QUALITY HEALTH	$240,176	136.8%	1
PHCS (Private Healthcare Systems)	$240,176	136.8%	1
DIMENSION HEALTH PLAN	$240,176	136.8%	3
AFFORDABLE	$226,833	123.7%	1
INTERNATIONAL	$173,460	71.1%	1
UnitedHealthcare	$160,117	57.9%	8
AMERIHEALTH NEW JERSEY (NON-HMO)	$120,088	18.4%	1
Cigna Healthcare	$120,088	18.4%	4
BLUE CROSS	$117,686	16.1%	7
AvMed	$108,346	6.8%	5
Aetna	$101,408	0.0%	7
NON CONTRACTED	$97,938	-3.4%	1
Medicare (Generic)	$66,050	-34.9%	4
LEON MEDICAL	$60,800	-40.0%	2
Humana	$60,247	-40.6%	2
Medica	$59,141	-41.7%	1
VISTA	$15,926	-84.3%	1
Sunshine Health	$15,631	-84.6%	1
Medicaid (Generic)	$15,483	-84.7%	2
WellCare Health Plans	$15,483	-84.7%	1
Amerigroup	$14,746	-85.5%	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.