APC 09431
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Inj, dostarlimab-gxly, 10
Low
$247
Average
$4.3k
Median
$1.2k
High
$23.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
16 payers; the 90th percentile is 56.4× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +1 other terms | 86 | $240 | $468 | $686 | 147% | — | $186 – $2.6k |
| 2 | Caresource fee schedule · outpatient | 20 | $247 | $709 | $920 | 130% | — | $247 – $2.5k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 11 | $247 | $1.0k | $1.1k | 103% | — | $247 – $2.5k |
| 4 | UnitedHealthcare facility · fee schedule · outpatient · +2 other terms | 7 | $510 | $5.3k | $6.5k | 122% | — | $247 – $15.7k |
| 5 | Medicare facility · fee schedule · outpatient · +1 other terms | 6 | $6.4k | $6.4k | $6.2k | 96% | — | $247 – $12.6k |
| 6 | Aetna fee schedule · outpatient · +1 other terms | 5 | $1.4k | $1.4k | $1.1k | 82% | — | $250 – $2.5k |
| 7 | Clover fee schedule · outpatient | 5 | $1.4k | $1.4k | $1.1k | 82% | — | $247 – $2.5k |
| 8 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $1.4k | $1.4k | $1.1k | 82% | — | $255 – $2.5k |
| 9 | WellCare fee schedule · outpatient · +1 other terms | 5 | $1.4k | $1.4k | $1.1k | 82% | — | $255 – $2.5k |
| 10 | Amerihealth Caritas facility · fee schedule · outpatient | 3 | $19.8k | $15.9k | $10.1k | 64% | — | $252 – $27.0k |
| 11 | Carefirst facility · fee schedule · outpatient | 3 | $247 | $247 | — | — | — | $247 – $247 |
| 12 | Tricare facility · fee schedule · outpatient | 3 | $247 | $247 | — | — | — | $247 – $247 |
| 13 | Ambetter facility · fee schedule · outpatient | 2 | $23.2k | $23.2k | — | — | — | $23.2k – $23.2k |
| 14 | Cigna facility · fee schedule · outpatient | 2 | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 15 | Medica facility · fee schedule · outpatient | 2 | $257 | $257 | — | — | — | $257 – $257 |
| 16 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $238 | $238 | $17 | 7% | — | $223 – $262 |
← Hospitals reporting APC 09431 · Snapshot 20261111T120946Z-9134e7f7