Payer comparison · HCPCS Q2043 · WAUKESHA, WI

Q2043 — Sipuleucel-t Auto Cd54+

What each payer pays WAUKESHA MEMORIAL HOSPITAL (CCN 520008) 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.

$257,168 All-payer median here

$167,586 Cash / self-pay here

30 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

MEDICAID MANAGED HEALTH SERVICESS (MHS)	$304,701	18.5%	1
Anthem (Elevance Health)	$304,701	18.5%	7
VA COMMUNITY CARE NETWORK	$304,701	18.5%	1
COMMUNITY CARE INC. - FAMILY CARE (WISCONSIN)	$304,701	18.5%	1
MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE	$304,701	18.5%	1
MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE	$304,701	18.5%	1
Humana	$304,701	18.5%	1
ICARE (INDEPENDENT CARE HEALTH PLAN)	$304,701	18.5%	1
MEDICAID DEAN HEALTH	$304,701	18.5%	1
MEDICAID TRILOGY	$304,701	18.5%	1
PHCS (Private Healthcare Systems)	$281,849	9.6%	1
IHG	$258,996	0.7%	1
First Health Network	$257,168	0.0%	1
HPS	$249,855	-2.8%	1
Aetna	$244,980	-4.7%	3
HEALTHEOS	$243,761	-5.2%	1
HPS SOLUTIONS	$225,479	-12.3%	1
QUARTZ HEALTH PLAN	$223,348	-13.2%	2
UnitedHealthcare	$217,301	-15.5%	4
TRILOGY	$210,244	-18.2%	1
CHORUS COMMUNITY HEALTH PLANS (BADGERCARE PLUS)	$209,939	-18.4%	2
WPS HEALTH INSURANCE	$208,309	-19.0%	2
ALLIANCE	$184,253	-28.4%	1
HPS SOLUTIONS PLUS ADV	$107,280	-58.3%	1
DEAN HEALTH	$101,207	-60.6%	1
Dean Health Plan (a Medica company)	$87,972	-65.8%	1
CENTIVO BROAD	$76,265	-70.3%	1
CENTIVO MEDIAN	$70,752	-72.5%	1
CENTIVO VALUE	$67,995	-73.6%	1
Cigna Healthcare	$55,513	-78.4%	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.