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 Q2043 · LAWRENCEVILLE, GA

Q2043 — Sipuleucel-t Auto Cd54+

What each payer pays NORTHSIDE HOSPITAL GWINNETT (CCN 110087) 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.

$170,528 All-payer median here
$233,612 Cash / self-pay here
57 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
   
Institutional Veterans Evaluation Services $311,483 82.7% 1
West Paces Imaging Agreement $311,483 82.7% 1
Marietta Dermatology Clinical Research Inc $311,483 82.7% 1
FIFA $311,483 82.7% 1
Institutional Marietta Surgery Center $311,483 82.7% 1
Rabun County BOC $311,483 82.7% 1
Dekalb_Department of Health $311,483 82.7% 1
CareIQ $311,483 82.7% 1
TRICARE $311,483 82.7% 1
Johnson Ferry Imaging $311,483 82.7% 1
BeechStreet Corporation $264,761 55.3% 1
MultiPlan $264,761 55.3% 2
PHCS (Private Healthcare Systems) $233,612 37.0% 1
NovaNet_PPO $218,038 27.9% 1
Kaiser Permanente $202,464 18.7% 30
Cigna Healthcare $196,234 15.1% 5
Institutional 115 Percent_Georgia Medicaid $191,299 12.2% 2
Institutional Gwinnett County Govt $186,661 9.5% 2
Georgia Medicaid (DCH) $186,661 9.5% 2
VA / CHAMPVA $183,378 7.5% 2
Quick Trip $171,316 0.5% 1
Health One Alliance_PPO $171,316 0.5% 1
Blue Cross Blue Shield Association $167,837 -1.6% 26
Northside Health Network $161,971 -5.0% 2
Aetna $161,971 -5.0% 17
Oscar Health $155,742 -8.7% 1
UnitedHealthcare $153,851 -9.8% 6
Georgia Workers Compensation $145,478 -14.7% 1
Fieldale Farms WC $145,478 -14.7% 1
Med Care Solutions $140,167 -17.8% 1
Employers Choice Network $138,204 -19.0% 1
CORVEL $138,204 -19.0% 1
Direct Pay Provider Network LLC $130,930 -23.2% 1
Authentic 4D $130,930 -23.2% 1
Streamline Imaging $130,930 -23.2% 1
Georgia Reproductive Specialists $124,593 -26.9% 1
MedLien Healthcare Services $124,593 -26.9% 1
Genex/Priority Care Solutions $116,382 -31.8% 1
Spreemo $116,382 -31.8% 1
Centene $108,790 -36.2% 4
CareSource $89,783 -47.4% 4
Institutional 120 Percent of Medicare $65,285 -61.7% 1
Institutional 110 Percent of Medicare $59,845 -64.9% 1
PRUITT HEALTH PREMIER NC & SC $57,124 -66.5% 1
Devoted Health $57,124 -66.5% 1
WellCare Health Plans $56,036 -67.1% 1
Humana $55,764 -67.3% 2
Medicare (Generic) $54,404 -68.1% 1
Institutional 100 Percent of Medicare $54,404 -68.1% 1
Fairly Group $54,404 -68.1% 1
EON HEALTH $54,404 -68.1% 1
Clover Health $54,404 -68.1% 1
CBWW $54,404 -68.1% 1
BCCP $54,404 -68.1% 1
VA COMMUNITY CARE NETWORK $54,404 -68.1% 1
Amerigroup $51,395 -69.9% 2
US Department of Labor (OWCP) $49,446 -71.0% 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.