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 Q2043 · RALEIGH, NC

Q2043 — Sipuleucel-t Auto Cd54+

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.

$220,124 All-payer median here
$122,368 Cash / self-pay here
14 payer/plan-name variants
← This hospital National rates for Q2043 →
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 $385,234 75.0% 1
Cigna Healthcare $220,124 0.0% 35
VA MEDICAID $220,124 0.0% 1
UnitedHealth Group, Inc. $220,124 0.0% 2
UnitedHealthcare $220,124 0.0% 24
Aetna $220,124 0.0% 9
First Health Network $220,124 0.0% 2
GOLDEN RULE INSURANCE $220,124 0.0% 2
MAIL HANDLERS [1001414] $220,124 0.0% 2
NALC HEALTH BENEFIT PLAN [1001268] $220,124 0.0% 1
UMR (UnitedHealthcare TPA) $220,124 0.0% 4
DUKE PLUS $145,029 -34.1% 1
Alignment Healthcare USA, LLC $55,015 -75.0% 1
Troy Holdings, Inc. $55,015 -75.0% 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.