Payer comparison · HCPCS Q2043 · MAPLEWOOD, MN

Q2043 — Sipuleucel-t Auto Cd54+

What each payer pays M HEALTH FAIRVIEW ST JOHN'S HOSPITAL (CCN 240210) 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.

$203,359 All-payer median here

$127,617 Cash / self-pay here

17 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

WPS Government Health Administrators	$286,421	40.8%	1
PHCS (Private Healthcare Systems)	$270,509	33.0%	1
MultiPlan	$270,509	33.0%	1
Aetna	$260,962	28.3%	1
Security Health Plan of Wisconsin	$206,860	1.7%	3
America's PPO	$190,948	-6.1%	6
Sanford Health	$187,447	-7.8%	3
Medica	$173,419	-14.7%	16
HealthPartners	$146,189	-28.1%	14
BCBS of Minnesota	$134,648	-33.8%	8
UCare	$131,173	-35.5%	8
South Country Health Alliance	$130,624	-35.8%	4
PrimeWest Rural MN Health Care Access Initiative	$130,624	-35.8%	4
WellCare Health Plans	$130,624	-35.8%	2
Itasca Medical Care	$130,624	-35.8%	4
UnitedHealthcare	$127,298	-37.4%	9
Hennepin Health	$126,160	-38.0%	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.