Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · HCPCS Q2042 · SENECA, SC

Q2042 — Tisagenlecleucel Car-pos T

What each payer pays PRISMA HEALTH OCONEE MEMORIAL HOSPITAL (CCN 420009) 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.

$600,523 All-payer median here
$1,684,353 Cash / self-pay here
78 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
   
First Health Network $2,409,921 301.3% 4
FURMAN INT/ALLEN UNIVERSITY STUDENT [2951] $2,409,921 301.3% 2
VSP VISION CARE [2986] $2,332,182 288.4% 2
NIPPON [2300] $2,332,182 288.4% 1
MultiPlan / PHCS Network $2,306,269 284.0% 2
APS HEALTHCARE SYSTEM [2981] $2,073,050 245.2% 2
Aetna $2,047,137 240.9% 7
Meritain Health $2,047,137 240.9% 3
MEDCOST [2940] $2,034,181 238.7% 4
ATLANTIC PACKAGING CONTRACTED [4833] $1,943,485 223.6% 2
PREFERRED ADMINISTRATORS CONTRACTED [2839] $1,813,919 202.1% 2
Evernorth Health Services $1,798,371 199.5% 1
BOB JONES UNIV-PAI [821] $1,554,788 158.9% 2
OCCUNET $1,303,022 117.0% 1
CONSOCIATE HEALTH CONTRACTED [4835] $1,246,369 107.5% 1
UMR (UnitedHealthcare TPA) $1,243,398 107.1% 2
UnitedHealthcare $1,243,398 107.1% 10
Surest (UHC) $1,243,398 107.1% 1
PROMISE HEALTH PLAN CONTRACTED [2401] $1,230,874 105.0% 4
MVP Health Care $1,182,451 96.9% 2
Orangeburg Senior Helping Center, LLC $1,036,525 72.6% 2
Centene $960,271 59.9% 2
MEDICAID BLUECHOICE [420] $860,748 43.3% 1
MEDICAID SELECT HEALTH OF SC [400] $852,472 42.0% 1
CELTIC LIFE MEDICARE SUPPLEMENT [3045] $827,643 37.8% 1
Amerigroup $827,643 37.8% 1
PENDING MEDICAID DET [333] $827,643 37.8% 1
FIRST CHOICE BENEFITS MGMT [3074] $827,643 37.8% 1
MEDICAID FLORIDA [315] $827,643 37.8% 1
CareSource $827,643 37.8% 1
MEDICAID NEW YORK [320] $827,643 37.8% 1
MEDICAID SC [300] $827,643 37.8% 1
MEDICAID TENNESSEE [325] $827,643 37.8% 1
WORKERS COMP [600] $793,144 32.1% 1
ABSOLUTE TOTAL CARE $731,941 21.9% 2
Molina Healthcare $623,184 3.8% 3
PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] $601,185 0.1% 2
PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] $601,185 0.1% 2
FIRST CHOICE VIP CARE PLUS (DOS 12/31/2025 AND PRIOR) $600,523 0.0% 1
MEDICARE LIBERTY ADVANTAGE [3325] $594,858 -0.9% 1
Allwell (Centene Medicare Advantage) $594,858 -0.9% 2
MEDICARE NHC ADVANTAGE [226] $594,858 -0.9% 1
MEDICARE ADV [26501] $589,193 -1.9% 9
Cigna Healthcare $589,193 -1.9% 6
MEDICARE ADVANTAGE [26503] $586,360 -2.4% 1
Humana $577,862 -3.8% 5
MEDICARE BCBS [210] $572,197 -4.7% 4
HOSPICE NON CONTRACTED [3190] $566,531 -5.7% 1
ALTERNATE MEDICARE [201] $566,531 -5.7% 1
ALTERNATE MEDICARE COVID [20102] $566,531 -5.7% 1
COVID19 HRSA UNINSURED TESTING & TREATMENT FUND [904] $566,531 -5.7% 1
DESERET MUTUAL BENEFIT ADMINISTRATORS $566,531 -5.7% 1
Devoted Health $566,531 -5.7% 1
FORETHOUGHT MEDICARE SUPPLEMENT [3075] $566,531 -5.7% 1
GENERIC SKILLED NURSING [3196] $566,531 -5.7% 1
HOP MEDICARE SUPPLEMENT [3089] $566,531 -5.7% 1
HOSPICE CONTRACTED [1500] $566,531 -5.7% 1
Medicare (Generic) $566,531 -5.7% 2
MEDICARE ADVANTAGE PLAN GENERIC [265] $566,531 -5.7% 1
MEDICARE ALTERNATE [20103] $566,531 -5.7% 1
MEDICARE AMERICAS 1ST CHOICE NC [260] $566,531 -5.7% 1
MEDICARE AMERICAS 1ST CHOICE SC [225] $566,531 -5.7% 1
MEDICARE BCBS OUT OF STATE [270] $566,531 -5.7% 1
MEDICARE RAILROAD [4180] $566,531 -5.7% 1
TRIWEST HEALTHCARE ALLIANCE VCP [902] $566,531 -5.7% 1
UNITED WORLD LIFE MEDICARE SUPPLEMENT [3179] $566,531 -5.7% 1
VA / CHAMPVA $566,531 -5.7% 2
VA COMMUNITY CARE NETWORK-VACCN [903] $566,531 -5.7% 1
TRICARE $565,624 -5.8% 2
Anthem (Elevance Health) $538,205 -10.4% 2
WellCare Health Plans $482,797 -19.6% 4
MEDICAID NORTH CAROLINA [310] $399,062 -33.5% 2
MEDICAID NC-HEALTHY BLUE [3227] $399,062 -33.5% 2
MEDICAID NC-AMERIHEALTH [3225] $399,062 -33.5% 2
Carolina Complete Health (Centene NC Medicaid) $399,062 -33.5% 2
MEDICAID NC-UHC COMMUNITY PLAN [3226] $399,062 -33.5% 2
BLUECHOICE [810] $370,558 -38.3% 1
BCBS [800] $370,558 -38.3% 3

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.