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
$9.9k
Median
$305
High
$179.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1183 hospitals; the 90th percentile is 218.3× 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.
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1,893 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 25 | $556 | $571 | $73 | 13% | 29–47 | $556 – $927 |
| 2 | Missouri Baptist Medical Center Saint Louis, MO other · both | 2 | $137 | $137 | — | — | 16–34 | $137 – $137 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $830 | $831 | $679 | 82% | 4–40 | $151 – $1.5k |
| 4 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · bothfrom % of charges | 1 | $4.6k | $12.8k | $15.3k | 119% | 4–40 | $2.9k – $39.2k |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 3 | $401 | $368 | $150 | 41% | 2–20 | $170 – $534 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $780 | $660 | $361 | 55% | 2–20 | $170 – $1.0k |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 3 | $727 | $623 | $336 | 54% | 2–20 | $170 – $973 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 3 | $618 | $542 | $248 | 46% | 2–20 | $208 – $802 |
| 9 | East Carolina Health Ahoskie, NC other · both | 1 | $140 | $140 | — | — | 1–10 | $140 – $140 |
| 10 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $243 | $230 | $64 | 28% | — | $137 – $303 |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · other · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $43.1k | $47.5k | $31.8k | 67% | — | $14.4k – $89.3k |
| 13 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 2 | $240 | $240 | $97 | 40% | — | $143 – $337 |
| 14 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $243 | $243 | $101 | 42% | — | $142 – $344 |
| 15 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 2 | $12.9k | $14.2k | $9.5k | 67% | — | $4.3k – $26.7k |
| 16 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $8.7k | $17.5k | $14.7k | 84% | — | $1.2k – $40.6k |
| 17 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 2 | $534 | $17.1k | $27.5k | 161% | — | $188 – $74.8k |
| 18 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH fee schedule · outpatient | 3 | $137 | $242 | $149 | 61% | — | $137 – $453 |
| 19 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 20 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 3 | $290 | $296 | $97 | 33% | — | $167 – $459 |
| 21 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $350 | $318 | $124 | 39% | — | $135 – $459 |
| 22 | Abbeville Area Medical Center Abbeville, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $11.7k | $15.8k | $12.7k | 81% | — | $3.3k – $36.5k |
| 23 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 2 | $220 | $220 | $81 | 37% | — | $139 – $302 |
| 24 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $188 | $188 | $51 | 27% | — | $137 – $239 |
| 25 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $303 | $303 | — | — | — | $303 – $303 |
← Payers reporting HCPCS J9309 · Snapshot 20261111T120946Z-9134e7f7