APC 9431

Dostarlimab-gxly injection

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inj, dostarlimab-gxly, 10 mg

Payers reporting APC 9431

Payer pricing summary

Low

$127

Average

$740

Median

$260

High

$5.7k

Payer rate distribution

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#
1	Excellus case rate · outpatient · +1 other terms	4	$333	$340	$124	37%	30	$244 – $547
2	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$250	$250	$3	1%	—	$233 – $260
3	Humana fee schedule · outpatient · +4 other terms	161	$247	$258	$71	27%	—	$233 – $990
4	Aetna fee schedule · outpatient · +4 other terms	155	$250	$255	$29	11%	—	$233 – $420
5	WellCare fee schedule · outpatient · +2 other terms	131	$255	$258	$10	4%	—	$240 – $327
6	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$251	$250	$9	4%	—	$236 – $355
7	Devoted fee schedule · outpatient · +1 other terms	122	$247	$248	$1	1%	—	$247 – $260
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$257	$253	$7	3%	—	$247 – $271
9	Molina fee schedule · outpatient · +3 other terms	69	$364	$354	$136	38%	—	$240 – $648
10	Superior Healthplan fee schedule · outpatient	40	$260	$260	$1	0%	—	$259 – $264
11	Anthem fee schedule · outpatient · +1 other terms	31	$247	$248	$5	2%	—	$240 – $255
12	Oscar fee schedule · outpatient · +2 other terms	27	$242	$269	$54	20%	—	$242 – $420
13	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$297	$295	$4	1%	—	$286 – $297
14	Cigna fee schedule · outpatient · +2 other terms	15	$252	$252	$9	4%	—	$240 – $267
15	Clover fee schedule · outpatient · +2 other terms	15	$259	$260	$1	0%	—	$259 – $264
16	Kaiser fee schedule · outpatient · +2 other terms	15	$252	$251	$3	1%	—	$245 – $252
17	Medicare facility · fee schedule · outpatient · +1 other terms	13	$247	$1.1k	$3.2k	281%	—	$247 – $12.6k
18	Ambetter case rate · outpatient · +4 other terms	12	$439	$482	$51	11%	—	$439 – $543
19	Optum fee schedule · outpatient · +1 other terms	8	$249	$372	$176	47%	—	$244 – $628
20	Highmark case rate · outpatient · +2 other terms	5	$244	$330	$117	35%	—	$244 – $534
21	Tricare facility · fee schedule · outpatient	5	$244	$244	—	—	—	$244 – $244
22	Bcbs Nj facility · other · outpatient	3	$247	$247	—	—	—	$247 – $247
23	Medica facility · fee schedule · outpatient	3	$257	$257	—	—	—	$257 – $257
24	Sanford Health Plan case rate · outpatient	3	$353	$356	$36	10%	—	$295 – $407
25	Aetna Better Health facility · case rate · outpatient	1	$188	$188	$61	32%	—	$127 – $249

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