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 Q2042 · DULUTH, GA

Q2042 — Tisagenlecleucel Car-pos T

What each payer pays NORTHSIDE HOSPITAL DULUTH (CCN 110252) 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.

$1,839,645 All-payer median here
$2,261,858 Cash / self-pay here
56 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
   
Institutional Marietta Surgery Center $3,015,811 63.9% 1
West Paces Imaging Agreement $3,015,811 63.9% 1
TRICARE $3,015,811 63.9% 1
CareIQ $3,015,811 63.9% 1
Rabun County BOC $3,015,811 63.9% 1
Dekalb_Department of Health $3,015,811 63.9% 1
FIFA $3,015,811 63.9% 1
Marietta Dermatology Clinical Research Inc $3,015,811 63.9% 1
Johnson Ferry Imaging $3,015,811 63.9% 1
Institutional Veterans Evaluation Services $3,015,811 63.9% 1
MultiPlan $2,563,439 39.3% 2
BeechStreet Corporation $2,563,439 39.3% 1
PHCS (Private Healthcare Systems) $2,261,858 23.0% 1
NovaNet_PPO $2,111,068 14.8% 1
Kaiser Permanente $1,960,277 6.6% 30
Cigna Healthcare $1,899,961 3.3% 5
Northside Health Network $1,869,803 1.6% 2
Aetna $1,809,487 -1.6% 9
Health One Alliance_PPO $1,658,696 -9.8% 1
Quick Trip $1,658,696 -9.8% 1
Blue Cross Blue Shield Association $1,494,787 -18.7% 10
Georgia Workers Compensation $1,481,651 -19.5% 1
Fieldale Farms WC $1,481,651 -19.5% 1
Oscar Health $1,417,431 -23.0% 1
Employers Choice Network $1,407,568 -23.5% 1
CORVEL $1,407,568 -23.5% 1
Med Care Solutions $1,357,115 -26.2% 1
Direct Pay Provider Network LLC $1,333,486 -27.5% 1
Authentic 4D $1,333,486 -27.5% 1
Streamline Imaging $1,333,486 -27.5% 1
MedLien Healthcare Services $1,206,324 -34.4% 1
Georgia Reproductive Specialists $1,206,324 -34.4% 1
Genex/Priority Care Solutions $1,185,321 -35.6% 1
Spreemo $1,185,321 -35.6% 1
Institutional 115 Percent_Georgia Medicaid $761,315 -58.6% 1
CareSource $681,884 -62.9% 3
Institutional 120 Percent of Medicare $679,838 -63.0% 1
Institutional Gwinnett County Govt $662,023 -64.0% 1
Georgia Medicaid (DCH) $662,023 -64.0% 1
Centene $662,023 -64.0% 3
Institutional 110 Percent of Medicare $623,184 -66.1% 1
PRUITT HEALTH PREMIER NC & SC $594,858 -67.7% 1
Devoted Health $594,858 -67.7% 1
VA / CHAMPVA $591,726 -67.8% 1
WellCare Health Plans $583,527 -68.3% 1
Humana $580,695 -68.4% 2
Fairly Group $566,531 -69.2% 1
CBWW $566,531 -69.2% 1
Clover Health $566,531 -69.2% 1
Institutional 100 Percent of Medicare $566,531 -69.2% 1
BCCP $566,531 -69.2% 1
UnitedHealthcare $566,531 -69.2% 1
EON HEALTH $566,531 -69.2% 1
VA COMMUNITY CARE NETWORK $566,531 -69.2% 1
Medicare (Generic) $566,531 -69.2% 1
Amerigroup $449,713 -75.6% 2

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.