Payer comparison · HCPCS Q2042 · BOSTON, MA

Q2042 — Tisagenlecleucel Car-pos T

What each payer pays BOSTON CHILDREN'S HOSPITAL (CCN 223302) 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.

$775,103 All-payer median here

$1,076,532 Cash / self-pay here

20 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 / PHCS Network	$1,006,557	29.9%	2
First Health Network	$990,409	27.8%	1
Community Health Options	$968,878	25.0%	1
Humana	$968,878	25.0%	1
Cigna Healthcare	$915,052	18.1%	5
Health New England	$869,837	12.2%	1
Interlink Transplant	$845,077	9.0%	2
ETS/LifeTrac	$845,077	9.0%	2
Fallon Health	$825,646	6.5%	2
Carelon Behavioral Health	$807,399	4.2%	2
Aetna	$775,103	0.0%	3
Optum Commercial	$775,103	0.0%	5
MGB/Allways	$721,761	-6.9%	4
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP)	$721,276	-6.9%	2
CARELON BEHAVIORAL HEALTH (MEDICAL BENEFITS)	$699,746	-9.7%	1
Centene	$680,368	-12.2%	1
UnitedHealthcare	$678,215	-12.5%	3
Tufts Health Plan	$662,067	-14.6%	2
Blue Cross Blue Shield Association	$657,384	-15.2%	4
Harvard Pilgrim Health Care	$607,917	-21.6%	3

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.