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
Polivy
Low
$0
Average
$3.9k
Median
$167
High
$168.2k
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 219 hospitals; the 90th percentile is 63.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Joseph Medical Center Bellingham, WA | $144 | $333 | $770 | 231% | 316 | $137 – $6.3k |
| 2 | Barnes Jewish Hospital St. Louis, MO | $137 | $138 | $3 | 2% | 111–129 | $137 – $63.9k |
| 3 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN | $150 | $175 | $53 | 30% | 40–67 | $137 – $102.6k |
| 4 | St Joseph Mercy Oakland Pontiac, MI | $137 | $147 | $54 | 37% | 19–28 | $75 – $61.5k |
| 5 | St Josephs Hospital Health Center Syracuse, NY | $147 | $186 | $62 | 33% | 17 | $137 – $133.2k |
| 6 | Missouri Baptist Medical Center Saint Louis, MO | $137 | $138 | $3 | 2% | 17–44 | $137 – $105.9k |
| 7 | Self Regional Healthcare Greenwood, SC | $2.7k | $2.7k | — | — | 15 | $2.7k – $47.7k |
| 8 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI | $135 | $148 | $53 | 35% | 14 | $75 – $61.5k |
| 9 | Fairview Health Services Minneapolis, MN | $11.9k | $11.9k | — | — | 14–140 | $87 – $11.9k |
| 10 | State Of Mississippi-university Of Mississippi Medical Center JACKSON, MS | $141 | $215 | $100 | 47% | 13–31 | $103 – $89.5k |
Ask Claude or any MCP client for HCPCS J9309 pricing at a specific hospital — see how to connect.