Price Transparencybeta 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 · PRESTONSBURG, KY

Q2043 — Sipuleucel-t Auto Cd54+

What each payer pays HIGHLANDS ARH REGIONAL MEDICAL CENTER (CCN 180005) 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.

$71,613 All-payer median here
$218,984 Cash / self-pay here
11 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
   
Humana Kentucky Medicaid $375,922 424.9% 1
UnitedHealthcare $191,976 168.1% 1
Humana $149,115 108.2% 2
Anthem Blue Cross CA $100,915 40.9% 1
Anthem (Elevance Health) $100,915 40.9% 3
WellCare Health Plans $52,422 -26.8% 1
Anthem BCBS of Kentucky $52,422 -26.8% 1
Veteran'S Affair Optum $52,422 -26.8% 1
Aetna $52,422 -26.8% 3
Molina Healthcare $52,118 -27.2% 1
Anthem Medicaid Kentucky $51,096 -28.6% 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.