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 · RALEIGH, NC

Q2042 — Tisagenlecleucel Car-pos T

What each payer pays Duke Health Raleigh Hospital (CCN 340073) 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.

$1,847,352 All-payer median here
$1,005,515 Cash / self-pay here
14 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
   
Humana $2,825,635 53.0% 2
Cigna Healthcare $1,847,352 0.0% 35
VA MEDICAID $1,847,352 0.0% 1
UMR (UnitedHealthcare TPA) $1,847,352 0.0% 4
UnitedHealth Group, Inc. $1,847,352 0.0% 2
UnitedHealthcare $1,847,352 0.0% 24
Aetna $1,847,352 0.0% 9
First Health Network $1,847,352 0.0% 1
MAIL HANDLERS [1001414] $1,847,352 0.0% 2
NALC HEALTH BENEFIT PLAN [1001268] $1,847,352 0.0% 2
GOLDEN RULE INSURANCE $1,507,476 -18.4% 2
DUKE PLUS $1,063,769 -42.4% 2
Troy Holdings, Inc. $529,193 -71.4% 1
Alignment Healthcare USA, LLC $529,193 -71.4% 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.