Payer comparison · HCPCS Q2042 · CLEVELAND, OH

Q2042 — Tisagenlecleucel Car-pos T

What each payer pays UH CLEVELAND MEDICAL CENTER (CCN 360137) 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.

$1,253,420 All-payer median here

$1,440,712 Cash / self-pay here

39 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

Fortified Provider Network	$1,965,240	56.8%	2
ConfigureNet	$1,965,240	56.8%	2
MultiPlan	$1,965,240	56.8%	2
PHCS (Private Healthcare Systems)	$1,877,896	49.8%	2
Century Health Network	$1,856,060	48.1%	2
BeechStreet Corporation	$1,842,928	47.0%	4
Ohio Preferred Network	$1,842,928	47.0%	4
Ohio Health Choice	$1,659,459	32.4%	4
HEALTHSMART BENEFIT SOLUTIONS	$1,419,340	13.2%	2
Health Ohio Network	$1,266,488	1.0%	2
Aetna	$1,253,420	0.0%	15
AmeriHealth Caritas	$1,253,420	0.0%	1
Anthem (Elevance Health)	$1,253,420	0.0%	12
Buckeye Health Plan	$1,253,420	0.0%	1
CareSource	$1,253,420	0.0%	3
Cigna Healthcare	$1,253,420	0.0%	7
Humana	$1,253,420	0.0%	3
JP Farley	$1,253,420	0.0%	3
Medical Mutual of Ohio	$1,253,420	0.0%	17
Molina Healthcare	$1,253,420	0.0%	3
SummaCare	$1,253,420	0.0%	5
The Health Plan of West Virginia, Inc.	$1,253,420	0.0%	5
UnitedHealthcare	$1,253,420	0.0%	6
Enterprise Group Planning	$1,222,816	-2.4%	2
Clarity	$1,222,816	-2.4%	2
AULTCARE/PRIMETIME HEALTH PLAN	$1,205,481	-3.8%	4
Centene	$1,147,604	-8.4%	2
Buckeye Plain Ministries	$1,091,800	-12.9%	2
Amish Church Fund and Workers Aid Plan	$1,091,800	-12.9%	2
Amish Aid Community Plan	$1,091,800	-12.9%	2
CHRISTIAN CARE MINISTRY	$1,091,800	-12.9%	2
Immergrun	$1,091,800	-12.9%	2
Sunrise Plain Communities	$1,091,800	-12.9%	2
University Health Employee Plan (Contigo)	$978,500	-21.9%	3
Perennial Advantage of Ohio	$930,565	-25.8%	2
Valor Health Plans	$930,565	-25.8%	2
PARAMOUNT HEALTH CARE	$924,777	-26.2%	2
Devoted Health	$916,095	-26.9%	2
Allwell (Centene Medicare Advantage)	$916,095	-26.9%	2

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.