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 Q2042 · LONG BRANCH, NJ

Q2042 — Tisagenlecleucel Car-pos T

What each payer pays MONMOUTH MEDICAL CENTER (CCN 310075) 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.

$603,395 All-payer median here
$468,442 Cash / self-pay here
16 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
   
EmblemHealth $1,095,616 81.6% 1
Self Pay $893,804 48.1% 1
AMERIHEALTH NEW JERSEY (NON-HMO) $893,804 48.1% 2
FIDELIS CARE (CENTERCARE) $759,935 25.9% 2
Humana $626,066 3.8% 1
Clover Health $626,066 3.8% 1
Aetna $626,066 3.8% 7
Anthem (Elevance Health) $614,731 1.9% 2
Qualcare Inc $603,395 0.0% 2
Horizon BCBS of NJ $589,840 -2.2% 8
UnitedHealthcare $558,891 -7.4% 10
Amerigroup $547,715 -9.2% 2
Cigna Healthcare $541,737 -10.2% 3
Horizon Braven $529,193 -12.3% 1
WellCare Health Plans $529,193 -12.3% 3
VA / CHAMPVA $468,442 -22.4% 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.