Payer comparison · HCPCS Q2043 · ROUND ROCK, TX

Q2043 — Sipuleucel-t Auto Cd54+

What each payer pays BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK (CCN 670034) 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.

$88,583 All-payer median here

$112,684 Cash / self-pay here

24 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

Three Rivers Provider Network	$169,027	90.8%	1
Private Health Care System	$140,856	59.0%	1
BlueBell Creameries	$140,856	59.0%	1
HEALTHSMART BENEFIT SOLUTIONS	$136,160	53.7%	2
CURATIVE	$122,075	37.8%	1
Aetna	$117,380	32.5%	2
Humana	$112,685	27.2%	4
Independent Medical System	$112,684	27.2%	1
University of Mary Hardin-Baylor	$108,928	23.0%	1
QuikTrip	$103,294	16.6%	1
MidCoast	$103,294	16.6%	1
Cigna Healthcare	$96,533	9.0%	3
Blue Cross Blue Shield	$86,391	-2.5%	7
Baylor Scott & White Health	$85,039	-4.0%	8
Sedgwick	$82,248	-7.2%	1
CareWorks fka Rockport	$82,248	-7.2%	1
UnitedHealthcare	$77,928	-12.0%	2
Injury Management Organization	$68,329	-22.9%	1
American Health Plan	$57,766	-34.8%	1
ProCare Advantage	$57,766	-34.8%	1
Prime Health Services	$57,634	-34.9%	1
CORVEL	$57,634	-34.9%	1
TriWest	$55,015	-37.9%	1
Superior HealthPlan	$46,288	-47.7%	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.