Payer comparison · HCPCS Q2042 · CHICAGO, IL

Q2042 — Tisagenlecleucel Car-pos T

What each payer pays ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO (CCN 143300) 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.

$2,222,850 All-payer median here

$2,030,000 Cash / self-pay here

46 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

MultiPlan	$2,755,000	23.9%	1
Integrated Health Plan	$2,755,000	23.9%	1
WEA Insurance Group	$2,755,000	23.9%	1
HEALTHSMART BENEFIT SOLUTIONS	$2,755,000	23.9%	1
National Provider Network	$2,755,000	23.9%	1
Wellmark BCBS	$2,668,000	20.0%	1
Employer's Coalition on Health	$2,610,000	17.4%	1
BeechStreet Corporation	$2,610,000	17.4%	1
Benchmark Health	$2,610,000	17.4%	1
Swedish American	$2,610,000	17.4%	1
Security Health Plan of Wisconsin	$2,610,000	17.4%	1
PHCS (Private Healthcare Systems)	$2,610,000	17.4%	3
Sagamore Health Network	$2,552,000	14.8%	1
Healthstar	$2,552,000	14.8%	1
Preferred Health Network	$2,552,000	14.8%	1
HEALTHCARE'S FINEST NETWORK (HFN)	$2,537,500	14.2%	2
COFINITY	$2,465,000	10.9%	1
St. Elizabeth	$2,465,000	10.9%	1
Humana	$2,465,000	10.9%	2
Principal Healthcare	$2,465,000	10.9%	1
HEALTHLINK	$2,392,500	7.6%	1
Magellan Health	$2,320,000	4.4%	1
American Psych Systems	$2,320,000	4.4%	1
HEALTH ALLIANCE MEDICAL PLAN OF ILLINOIS	$2,320,000	4.4%	1
Macneal Health	$2,320,000	4.4%	1
Shriners Hospital	$2,175,000	-2.2%	1
Swedish Covenant Physician Partners	$2,175,000	-2.2%	1
West Suburban Health Providers	$2,030,000	-8.7%	1
Advanced Physicians Association IPA	$2,030,000	-8.7%	1
Northwest Community Healthcare	$2,030,000	-8.7%	1
Presence Health Partners	$2,030,000	-8.7%	1
Methodist First Choice	$2,030,000	-8.7%	1
Imagine Health	$2,030,000	-8.7%	1
Health Plus	$2,030,000	-8.7%	1
UI Health	$2,030,000	-8.7%	1
St. Francis	$2,030,000	-8.7%	1
Aetna	$1,903,850	-14.4%	4
Independent Physicians at Mercy	$1,740,000	-21.7%	1
Centegra	$1,740,000	-21.7%	1
Blue Cross Blue Shield	$1,740,000	-21.7%	9
Cigna Healthcare	$1,670,400	-24.9%	3
Beacon Health Strategies	$1,450,000	-34.8%	1
La Rabida Childrens Hospital	$1,450,000	-34.8%	1
UnitedHealthcare	$1,329,650	-40.2%	2
MERCYCARE HEALTH PLANS	$1,073,000	-51.7%	1
Medicare (Generic)	$493,000	-77.8%	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.