Payer comparison · HCPCS Q2042 · COLUMBUS, OH

Q2042 — Tisagenlecleucel Car-pos T

What each payer pays James Cancer Hospital & Solove Research Institute (CCN 360242) 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.

$841,843 All-payer median here

23 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	$1,641,926	95.0%	2
HEALTHSMART BENEFIT SOLUTIONS	$1,588,960	88.7%	2
FRONTPATH HEALTH COALITION	$1,412,409	67.8%	2
Upper Ohio Valley	$1,305,792	55.1%	6
Cigna Healthcare	$1,299,761	54.4%	4
Anthem (Elevance Health)	$1,299,182	54.3%	9
OhioHealth	$1,279,034	51.9%	4
Lifetrac	$1,171,181	39.1%	4
Ohio PPO	$1,158,529	37.6%	2
OSU Health Plan	$962,755	14.4%	12
UnitedHealthcare	$929,132	10.4%	8
Humana	$839,091	-0.3%	8
AMERIHEALTH NEW JERSEY (NON-HMO)	$788,077	-6.4%	4
CareSource	$750,123	-10.9%	10
Buckeye Health Plan	$722,420	-14.2%	12
Molina Healthcare	$700,374	-16.8%	12
Healthspan	$686,350	-18.5%	4
Aetna	$680,328	-19.2%	14
ODRC	$660,102	-21.6%	4
Medical Mutual of Ohio	$629,782	-25.2%	6
Medicaid (Generic)	$521,187	-38.1%	4
Medicare (Generic)	$476,116	-43.4%	4
MediGold	$386,647	-54.1%	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.