Payer comparison · HCPCS Q2043 · DEKALB, IL

Q2043 — Sipuleucel-t Auto Cd54+

What each payer pays NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL (CCN 140286) 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.

$381,432 All-payer median here

$421,173 Cash / self-pay here

22 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

UNITED HEALTHCARE [158]	$601,675	57.7%	1
OPTUM/UNITED BEHAVIORAL HEALTH [157]	$601,675	57.7%	1
ALTERNATE HUMANA MEDICARE ADV [2409]	$601,675	57.7%	1
MULTIPLAN/PHCS [142]	$535,491	40.4%	2
COVENTRYONE PPO [17110]	$517,441	35.7%	1
COVENTRY [1218]	$517,441	35.7%	1
FIRST HEALTH PLAN [6034]	$517,441	35.7%	1
CHOICECARE [177]	$454,866	19.3%	1
HEALTHLINK PPO	$451,256	18.3%	1
ALTERNATE BLUE CROSS [1402]	$413,321	8.4%	2
HEALTH'S FINEST NETWORK [126]	$412,148	8.1%	2
BLUE CROSS BLUE SHIELD [1401]	$363,412	-4.7%	7
AETNA HEALTH PLAN [171]	$210,286	-44.9%	4
GLOBAL EXCEL [1712]	$69,193	-81.9%	1
ALTERNATE BLUE CROSS MEDICARE ADV [2304]	$69,193	-81.9%	1
HEALTH ALLIANCE MEDICAID [1310]	$41,516	-89.1%	1
FAMILY HEALTH NETWORK HMO [1610]	$41,516	-89.1%	1
COUNTYCARE IL COOK CO [1607]	$41,516	-89.1%	1
MERIDIAN HEALTH PLAN HMO [1604]	$41,516	-89.1%	1
CIGNA HEALTHSPRING SPECIALCARE OF IL [1608]	$41,516	-89.1%	1
BLUE CROSS MEDICAID [1612]	$41,516	-89.1%	1
CENPATICO BEHAVIORAL HEALTH [1603]	$41,516	-89.1%	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.