Price Transparencybeta 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 Q2043 · SAN ANTONIO, TX

Q2043 — Sipuleucel-t Auto Cd54+

What each payer pays CHRISTUS SANTA ROSA MEDICAL CENTER (CCN 450237) 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.

$139,021 All-payer median here
40 payer/plan-name variants
← This hospital National rates for Q2043 →
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
   
BCBS of Texas $193,016 38.8% 21
UnitedHealthcare $139,021 0.0% 14
Five Point Credit Union $139,021 0.0% 3
Healthcare Highways $139,021 0.0% 3
Health Management Network $139,021 0.0% 3
HEALTHSMART BENEFIT SOLUTIONS $139,021 0.0% 6
Aetna $139,021 0.0% 27
Medicus Internatiaonal $139,021 0.0% 3
Molina Healthcare $139,021 0.0% 6
MultiPlan $139,021 0.0% 3
National Choicecare $139,021 0.0% 3
PHCS (Private Healthcare Systems) $139,021 0.0% 3
Provider Select $139,021 0.0% 3
Superior HealthPlan $139,021 0.0% 15
TEXAS CHILDREN'S HEALTH PLAN $139,021 0.0% 5
Amerigroup $139,021 0.0% 13
BeechStreet Corporation $139,021 0.0% 3
Christian Brothers Services $139,021 0.0% 3
Cigna Healthcare $139,021 0.0% 9
Community First Health Plan $139,021 0.0% 14
DRISCOLL CHILDRENS HEALTH PLAN $139,021 0.0% 6
El Paso Health $139,021 0.0% 2
First Care $139,021 0.0% 2
Naphcare Inc $104,295 -25.0% 3
Gilsbar $67,792 -51.2% 2
CHRISTUS Health $63,414 -54.4% 6
EMPLOYER DIRECT HEALTHCARE $62,577 -55.0% 3
American Health Medicare $57,362 -58.7% 2
ProCare Advantage $57,362 -58.7% 2
Imperial Health Plan of California $57,362 -58.7% 2
Devoted Health $56,319 -59.5% 3
US Imaging Network $55,798 -59.9% 3
Shared Health Insurance Company $54,755 -60.6% 3
Washington National $53,820 -61.3% 1
Texas Independence Health Plan $53,712 -61.4% 2
Provider Partners Health Plan (PPHP) $53,712 -61.4% 3
Humana $52,984 -61.9% 8
PGBA TRIWEST VA CCN $52,148 -62.5% 3
Allwell (Centene Medicare Advantage) $52,148 -62.5% 3
WellCare Health Plans $52,148 -62.5% 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.