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 Q2055 · ROSLYN, NY

Q2055 — Idecabtagene Vicleucel Car

What each payer pays ST FRANCIS HOSPITAL - THE HEART CENTER (CCN 330182) 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.

$637,687 All-payer median here
39 payer/plan-name variants
← This hospital National rates for Q2055 →
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
   
1199 NATIONAL BENEFIT FUND $1,938,761 204.0% 1
Brighton $1,254,816 96.8% 4
Three Rivers Provider Network $1,254,816 96.8% 1
Oscar Health $1,254,816 96.8% 1
Aetna $1,254,816 96.8% 6
Health Plus $1,254,816 96.8% 9
Centivo $1,254,816 96.8% 1
Galaxy Health Network $1,254,816 96.8% 1
Health First $1,094,072 71.6% 3
Surest (UHC) $871,716 36.7% 1
UMR (UnitedHealthcare TPA) $871,716 36.7% 1
UnitedHealthcare $799,739 25.4% 15
Self Pay $670,957 5.2% 1
WellCare Health Plans $664,237 4.2% 2
Anthem BCBS of New York $664,026 4.1% 8
Humana $637,687 0.0% 3
VNS CHOICE (NY) $634,045 -0.6% 2
PARTNERS HEALTH PLAN $634,045 -0.6% 2
Medicare (Generic) $625,184 -2.0% 2
MVP Health Care $625,184 -2.0% 1
ORTHONET - UNIFORMED SERVICES FAMILY HEALTH PLAN $625,184 -2.0% 1
PMC $625,184 -2.0% 1
Senior Whole Health $625,184 -2.0% 2
VA / CHAMPVA $625,184 -2.0% 2
TRICARE $625,184 -2.0% 2
Universal Healthcare $625,184 -2.0% 3
EmblemHealth $625,184 -2.0% 3
Cigna Healthcare $625,184 -2.0% 3
Centers Plan for Healthy Living $625,184 -2.0% 1
Independent Health Association, Inc. $625,184 -2.0% 1
Liberty Health $625,184 -2.0% 1
AgeWell PACE $624,987 -2.0% 2
World Trade Center (WTC) Health Program $603,852 -5.3% 2
CenterLight Health System, Inc. $603,852 -5.3% 2
Elderplan, Inc. $603,852 -5.3% 2
FIDELIS CARE (CENTERCARE) $603,852 -5.3% 6
Longevity Health Plan $603,852 -5.3% 2
US Family Health Plan $603,852 -5.3% 2
AFFINITY HEALTH PLAN $260 -100.0% 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.