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 Q2055 · SMITHTOWN, NY

Q2055 — Idecabtagene Vicleucel Car

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.

$871,716 All-payer median here
70 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 $1,474,217 69.1% 2
Three Rivers Provider Network $1,130,990 29.7% 2
Oscar Health $1,130,990 29.7% 2
Galaxy $1,130,990 29.7% 2
Health First $1,094,072 25.5% 3
American Group Administrators $1,009,672 15.8% 1
American Plan Administrators $1,009,672 15.8% 1
Anthem (Elevance Health) $1,009,672 15.8% 1
APWU $1,009,672 15.8% 1
Bakery & Confectionery Union $1,009,672 15.8% 1
Benefit Services $1,009,672 15.8% 1
Brighton $1,009,672 15.8% 9
Amerihealth Administrators $1,009,672 15.8% 1
Aetna $1,009,672 15.8% 10
AITHER HEALTH $1,009,672 15.8% 1
Allied Wellfare Fund $1,009,672 15.8% 1
ALPHA CARE MEDICAL GROUP $1,009,672 15.8% 1
Centivo $1,009,672 15.8% 3
Cigna Healthcare $1,009,672 15.8% 5
Comprehensive Benefits Consultant $1,009,672 15.8% 1
Daniel H Cook $1,009,672 15.8% 1
Dentaquest $1,009,672 15.8% 2
Group Health Insurance (GHI) of NY $1,009,672 15.8% 1
Guardian Life Insurance Company Of America $1,009,672 15.8% 1
Health Plus $1,009,672 15.8% 16
International Benefit Administrator $1,009,672 15.8% 1
Magellan Health $1,009,672 15.8% 2
Mail Handlers Benefit Plan $1,009,672 15.8% 1
Maloney and Assoc $1,009,672 15.8% 1
Meritain Health $1,009,672 15.8% 1
MultiPlan $1,009,672 15.8% 1
Nalc $1,009,672 15.8% 1
Nippon Life Insurance Company Of America $1,009,672 15.8% 1
Performax $1,009,672 15.8% 1
PHCS (Private Healthcare Systems) $1,009,672 15.8% 1
POMCO Group $1,009,672 15.8% 1
Salvation Army $1,009,672 15.8% 1
SAMBA $1,009,672 15.8% 1
TPA Inc $1,009,672 15.8% 1
Ultra Benefits Inc. $1,009,672 15.8% 1
United Employees Health Plan $1,009,672 15.8% 1
Surest (UHC) $871,716 0.0% 1
UMR (UnitedHealthcare TPA) $871,716 0.0% 1
Beacon Health Strategies $843,998 -3.2% 14
Mvp Health Plans $817,428 -6.2% 2
UnitedHealthcare $799,739 -8.3% 15
Self Pay $670,957 -23.0% 1
Anthem BCBS of New York $664,026 -23.8% 10
WellCare Health Plans $661,422 -24.1% 2
Humana $637,687 -26.8% 3
Partners Health Plan $631,357 -27.6% 2
VNS CHOICE (NY) $631,357 -27.6% 2
TRICARE $625,184 -28.3% 2
ORTHONET - UNIFORMED SERVICES FAMILY HEALTH PLAN $625,184 -28.3% 1
Centers Plan For Healthy Living $625,184 -28.3% 1
PMC $625,184 -28.3% 1
EmblemHealth $625,184 -28.3% 7
Universal Healthcare $625,184 -28.3% 3
VA / CHAMPVA $625,184 -28.3% 2
Independent Health Association, Inc. $625,184 -28.3% 1
Liberty Health $625,184 -28.3% 1
Senior Whole Health $625,184 -28.3% 2
Medicare (Generic) $625,184 -28.3% 2
AgeWell PACE $622,338 -28.6% 2
Longevity Health Plan $601,293 -31.0% 2
US Family Health Plan $601,293 -31.0% 2
Zadroga $601,293 -31.0% 2
CenterLight Health System, Inc. $601,293 -31.0% 2
Elderplan, Inc. $601,293 -31.0% 2
Fidelis Care New York $601,293 -31.0% 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.