Price Transparency 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 · SMITHTOWN, NY

Q2042 — Tisagenlecleucel Car-pos T

What each payer pays ST CATHERINE OF SIENA HOSPITAL (CCN 330401) 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.

$933,279 All-payer median here
70 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
   
1199 NATIONAL BENEFIT FUND $1,562,634 67.4% 2
Three Rivers Provider Network $1,200,725 28.7% 2
Oscar Health $1,200,725 28.7% 2
Galaxy $1,200,725 28.7% 2
Health First $1,171,339 25.5% 3
American Group Administrators $1,080,979 15.8% 1
American Plan Administrators $1,080,979 15.8% 1
Anthem (Elevance Health) $1,080,979 15.8% 1
APWU $1,080,979 15.8% 1
Bakery & Confectionery Union $1,080,979 15.8% 1
Benefit Services $1,080,979 15.8% 1
Brighton $1,080,979 15.8% 9
Amerihealth Administrators $1,080,979 15.8% 1
Aetna $1,080,979 15.8% 10
AITHER HEALTH $1,080,979 15.8% 1
Allied Wellfare Fund $1,080,979 15.8% 1
ALPHA CARE MEDICAL GROUP $1,080,979 15.8% 1
Centivo $1,080,979 15.8% 3
Cigna Healthcare $1,080,979 15.8% 5
Comprehensive Benefits Consultant $1,080,979 15.8% 1
Daniel H Cook $1,080,979 15.8% 1
Dentaquest $1,080,979 15.8% 2
Group Health Insurance (GHI) of NY $1,080,979 15.8% 1
Guardian Life Insurance Company Of America $1,080,979 15.8% 1
Health Plus $1,080,979 15.8% 16
International Benefit Administrator $1,080,979 15.8% 1
Magellan Health $1,080,979 15.8% 2
Mail Handlers Benefit Plan $1,080,979 15.8% 1
Maloney and Assoc $1,080,979 15.8% 1
Meritain Health $1,080,979 15.8% 1
MultiPlan $1,080,979 15.8% 1
Nalc $1,080,979 15.8% 1
Nippon Life Insurance Company Of America $1,080,979 15.8% 1
Performax $1,080,979 15.8% 1
PHCS (Private Healthcare Systems) $1,080,979 15.8% 1
POMCO Group $1,080,979 15.8% 1
Salvation Army $1,080,979 15.8% 1
SAMBA $1,080,979 15.8% 1
TPA Inc $1,080,979 15.8% 1
Ultra Benefits Inc. $1,080,979 15.8% 1
United Employees Health Plan $1,080,979 15.8% 1
Surest (UHC) $933,279 0.0% 1
UMR (UnitedHealthcare TPA) $933,279 0.0% 1
Beacon Health Strategies $903,604 -3.2% 14
Mvp Health Plans $875,158 -6.2% 2
UnitedHealthcare $843,270 -9.6% 15
Self Pay $718,342 -23.0% 1
WellCare Health Plans $702,992 -24.7% 2
Anthem BCBS of New York $700,169 -25.0% 10
Humana $682,723 -26.8% 3
Partners Health Plan $671,038 -28.1% 2
VNS CHOICE (NY) $671,038 -28.1% 2
TRICARE $669,337 -28.3% 2
ORTHONET - UNIFORMED SERVICES FAMILY HEALTH PLAN $669,337 -28.3% 1
Centers Plan For Healthy Living $669,337 -28.3% 1
PMC $669,337 -28.3% 1
EmblemHealth $669,337 -28.3% 7
Universal Healthcare $669,337 -28.3% 3
VA / CHAMPVA $669,337 -28.3% 2
Independent Health Association, Inc. $669,337 -28.3% 1
Liberty Health $669,337 -28.3% 1
Senior Whole Health $669,337 -28.3% 2
Medicare (Generic) $669,337 -28.3% 2
AgeWell PACE $661,451 -29.1% 2
Longevity Health Plan $639,084 -31.5% 2
US Family Health Plan $639,084 -31.5% 2
Zadroga $639,084 -31.5% 2
CenterLight Health System, Inc. $639,084 -31.5% 2
Elderplan, Inc. $639,084 -31.5% 2
Fidelis Care New York $639,084 -31.5% 6

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.