Payer comparison · HCPCS Q2042 · BEACHWOOD, OH

Q2042 — Tisagenlecleucel Car-pos T

What each payer pays LAKE HEALTH BEACHWOOD MEDICAL CENTER (CCN 360367) 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.

$1,594,388 All-payer median here

$1,834,688 Cash / self-pay here

37 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

ConfigureNet	$1,965,240	23.3%	2
MultiPlan	$1,965,240	23.3%	2
Fortified Provider Network	$1,965,240	23.3%	2
PHCS (Private Healthcare Systems)	$1,877,896	17.8%	2
Century Health Network	$1,856,060	16.4%	2
Ohio Preferred Network	$1,842,928	15.6%	4
BeechStreet Corporation	$1,842,928	15.6%	4
UnitedHealthcare	$1,663,450	4.3%	4
AmeriHealth Caritas	$1,663,450	4.3%	1
Buckeye Health Plan	$1,663,450	4.3%	1
Humana	$1,663,450	4.3%	3
CareSource	$1,663,450	4.3%	3
Ohio Health Choice	$1,659,459	4.1%	4
Aetna	$1,657,334	3.9%	10
HEALTHSMART BENEFIT SOLUTIONS	$1,419,340	-11.0%	2
Centene	$1,352,619	-15.2%	2
AULTCARE/PRIMETIME HEALTH PLAN	$1,345,438	-15.6%	5
Molina Healthcare	$1,306,246	-18.1%	5
JP Farley	$1,174,200	-26.4%	3
SummaCare	$1,174,200	-26.4%	5
Valor Health Plans	$1,135,580	-28.8%	2
Perennial Advantage of Ohio	$1,135,580	-28.8%	2
PARAMOUNT HEALTH CARE	$1,129,792	-29.1%	2
Cigna Healthcare	$1,121,111	-29.7%	4
Devoted Health	$1,121,111	-29.7%	2
Medical Mutual of Ohio	$1,121,111	-29.7%	2
Allwell (Centene Medicare Advantage)	$1,121,111	-29.7%	2
The Health Plan of West Virginia, Inc.	$1,121,111	-29.7%	2
Immergrun	$1,091,800	-31.5%	2
CHRISTIAN CARE MINISTRY	$1,091,800	-31.5%	2
Sunrise Plan Communities	$1,091,800	-31.5%	2
Clarity	$1,048,128	-34.3%	2
Buckeye Plain Ministries	$1,004,456	-37.0%	2
Amish Church Fund and Workers Aid Plan	$1,004,456	-37.0%	2
Amish Aid Community Plan	$1,004,456	-37.0%	2
University Health Employee Plan (Contigo)	$978,500	-38.6%	3
Anthem (Elevance Health)	$942,509	-40.9%	4

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.