Payer comparison · HCPCS Q2042 · PHILADELPHIA, PA

Q2042 — Tisagenlecleucel Car-pos T

What each payer pays THOMAS JEFFERSON UNIVERSITY HOSPITAL (CCN 390174) 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.

$591,726 All-payer median here

30 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

Geisinger Health Plan	$1,437,573	142.9%	2
Highmark BCBS	$1,362,394	130.2%	3
NaphCare	$1,019,756	72.3%	3
Centene	$835,634	41.2%	2
Independence BCBS	$708,164	19.7%	2
Aetna	$689,809	16.6%	3
Perennial Consortium, LLC	$657,176	11.1%	1
Geisinger Medicare Advantage	$651,511	10.1%	1
Gateway Health Plan	$643,013	8.7%	2
Allwell (Centene Medicare Advantage)	$623,184	5.3%	1
UnitedHealthcare	$611,854	3.4%	5
Provider Partners Health Plan (PPHP)	$606,188	2.4%	1
UPMC Medicare Advantage	$594,858	0.5%	1
Devoted Health	$594,858	0.5%	1
Horizon BCBS of NJ	$591,726	0.0%	4
Cigna HealthSpring Medicare Adv	$589,193	-0.4%	1
Keystone First VIP Choice	$583,527	-1.4%	2
Humana	$577,862	-2.3%	1
TJUH Health Partners Medicare	$577,862	-2.3%	1
Innovage	$572,197	-3.3%	2
Optum VA CCN	$566,531	-4.3%	1
TRICARE	$566,531	-4.3%	1
Jefferson Health Plan ACA QHP Exchange	$566,531	-4.3%	1
Inspira Life	$566,531	-4.3%	1
Point of Comfort Refugee Resettlement	$566,531	-4.3%	1
IBC Medicare	$566,531	-4.3%	1
St Agnes	$566,531	-4.3%	1
UPMC CHC Medicaid	$538,408	-9.0%	4
Keystone First	$534,466	-9.7%	2
IBC	$312,500	-47.2%	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.