Payer comparison · HCPCS Q2042 · OMAHA, NE

Q2042 — Tisagenlecleucel Car-pos T

What each payer pays Children's Hospital & Medical Center Transplant (CCN 289806) 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.

$715,672 All-payer median here

$444,609 Cash / self-pay here

28 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

Galaxy Health Network	$812,560	13.5%	2
EVOLUTIONS HEALTHCARE SYSTEMS	$812,560	13.5%	2
First Health Network	$796,309	11.3%	2
HEALTHLINK PPO	$796,309	11.3%	2
BeechStreet (MultiPlan)	$796,309	11.3%	2
Anthem (Elevance Health)	$784,362	9.6%	4
PHCS (Private Healthcare Systems)	$780,058	9.0%	2
Ohio Health Choice	$771,932	7.9%	2
Custom Design Benefits, Inc.	$771,932	7.9%	2
HEALTHSMART BENEFIT SOLUTIONS	$771,932	7.9%	2
Medical Benefit Administrators Insurance	$771,932	7.9%	2
Ohio Health Network Inc	$754,497	5.4%	6
UnitedHealthcare	$674,991	-5.7%	7
Parkview Signature Care Insurance	$633,797	-11.4%	4
Margaret Mary Health Insurance	$633,797	-11.4%	2
Medical Mutual of Ohio	$628,088	-12.2%	4
Cigna Healthcare	$567,063	-20.8%	4
POINT COMFORT UNDERWRITERS	$528,164	-26.2%	2
Aetna	$466,809	-34.8%	4
CARESOURCE OF OHIO	$361,603	-49.5%	3
WellCare Health Plans	$213,703	-70.1%	2
PASSPORT HEALTH PLAN	$211,266	-70.5%	2
Humana Kentucky Medicaid	$203,140	-71.6%	2
Buckeye Health Plan	$19,170	-97.3%	1
Molina Healthcare	$18,337	-97.4%	1
Amerihealth Caritas Oh	$18,003	-97.5%	1
Humana	$17,503	-97.6%	1
Anthem BCBS of Ohio	$17,503	-97.6%	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.