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.

$1,237,986 All-payer median here

$1,888,861 Cash / self-pay here

36 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	$2,437,681	96.9%	2
FRONTPATH HEALTH COALITION	$2,437,681	96.9%	2
Tertiary Care Network	$2,437,681	96.9%	2
Managed Care Services	$2,437,681	96.9%	2
The Health Plan of West Virginia, Inc.	$2,159,571	74.4%	8
Consociate Health	$2,031,400	64.1%	2
CC EHP	$2,020,566	63.2%	2
GMS	$1,895,974	53.1%	2
Medical Benefit Corp	$1,895,974	53.1%	2
Medical Mutual of Ohio	$1,632,234	31.8%	5
Cigna Healthcare	$1,516,722	22.5%	3
UPMC Health Plan	$1,506,677	21.7%	3
HEALTHSMART BENEFIT SOLUTIONS	$1,489,694	20.3%	2
Ohio Healthy	$1,462,608	18.1%	2
OMAS	$1,354,267	9.4%	2
Aetna	$1,319,296	6.6%	9
Ohio Health Choice	$1,316,347	6.3%	2
Amish Community Aid Plan	$1,255,564	1.4%	3
UnitedHealthcare	$1,112,430	-10.1%	7
SummaCare	$1,112,430	-10.1%	7
Anthem (Elevance Health)	$1,108,336	-10.5%	10
AULTCARE/PRIMETIME HEALTH PLAN	$1,087,319	-12.2%	3
PHP	$866,731	-30.0%	2
PHPHI	$866,731	-30.0%	2
Oscar Health	$864,033	-30.2%	4
Zing Health Consolidator, Inc	$623,184	-49.7%	1
Provider Partners Health Plan (PPHP)	$623,184	-49.7%	1
CommuniCare	$594,858	-51.9%	1
Perennial Health	$591,691	-52.2%	2
Devoted Health	$566,531	-54.2%	1
Valor	$566,531	-54.2%	1
Humana	$529,193	-57.3%	1
AMERIHEALTH NEW JERSEY (NON-HMO)	$13,189	-98.9%	1
CareSource	$12,829	-99.0%	1
Molina Healthcare	$12,589	-99.0%	1
Buckeye Health Plan	$11,990	-99.0%	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.