Payer comparison · HCPCS Q2042 · DOVER, OH

Q2042 — Tisagenlecleucel Car-pos T

What each payer pays UNION HOSPITAL (CCN 360010) 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.

$1,293,428 All-payer median here

$1,851,824 Cash / self-pay here

32 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

MultiPlan	$2,338,114	80.8%	2
Managed Care Services	$2,338,114	80.8%	2
Tertiary Care Network	$2,338,114	80.8%	2
FRONTPATH HEALTH COALITION	$2,338,114	80.8%	2
The Health Plan of West Virginia, Inc.	$2,006,556	55.1%	8
Consociate Health	$1,948,428	50.6%	2
CC EHP	$1,938,037	49.8%	2
Medical Benefit Corp	$1,818,533	40.6%	2
GMS	$1,818,533	40.6%	2
PHPHI	$1,558,743	20.5%	2
PHP	$1,558,743	20.5%	2
HEALTHSMART BENEFIT SOLUTIONS	$1,428,848	10.5%	2
UPMC Health Plan	$1,408,110	8.9%	3
Ohio Healthy	$1,402,868	8.5%	2
OMAS	$1,298,952	0.4%	2
Aetna	$1,293,428	0.0%	9
Ohio Health Choice	$1,262,582	-2.4%	2
Anthem (Elevance Health)	$1,250,401	-3.3%	7
Amish Community Aid Plan	$1,173,425	-9.3%	3
SummaCare	$1,081,897	-16.4%	7
AULTCARE/PRIMETIME HEALTH PLAN	$1,056,082	-18.4%	3
Cigna Healthcare	$1,056,082	-18.4%	3
Medical Mutual of Ohio	$1,035,260	-20.0%	4
Oscar Health	$880,378	-31.9%	4
UnitedHealthcare	$844,268	-34.7%	4
Zing Health Consolidator, Inc	$588,250	-54.5%	1
Provider Partners Health Plan (PPHP)	$582,112	-55.0%	1
Perennial Health	$571,528	-55.8%	2
CommuniCare	$555,652	-57.0%	1
Devoted Health	$529,193	-59.1%	1
Valor	$529,193	-59.1%	1
Humana	$529,193	-59.1%	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.