Payer comparison · HCPCS Q2043 · MARATHON, FL

Q2043 — Sipuleucel-t Auto Cd54+

What each payer pays FISHERMEN'S COMMUNITY HOSPITAL (CCN 101312) 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.

$151,044 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	59.0%	1
PHCS (Private Healthcare Systems)	$240,176	59.0%	1
AFFORDABLE	$240,176	59.0%	1
AvMed	$220,962	46.3%	5
DIMENSION HEALTH PLAN	$220,161	45.8%	2
UnitedHealthcare	$213,490	41.3%	8
Cigna Healthcare	$201,481	33.4%	4
BLUE CROSS	$200,146	32.5%	9
AMERIHEALTH NEW JERSEY (NON-HMO)	$200,146	32.5%	1
INTERNATIONAL	$173,460	14.8%	1
Aetna	$130,229	-13.8%	8
NON CONTRACTED	$97,938	-35.2%	1
Humana	$61,085	-59.6%	2
LEON MEDICAL	$56,041	-62.9%	2
Medica	$56,041	-62.9%	1
Medicare (Generic)	$56,041	-62.9%	3
VISTA	$15,926	-89.5%	1
Sunshine Health	$15,631	-89.7%	1
Medicaid (Generic)	$15,483	-89.7%	2
WellCare Health Plans	$15,483	-89.7%	1
Amerigroup	$14,746	-90.2%	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.