Trastuzumab-dkst (Ogivri) injection, per 10 mg

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

PR OGIVRI 10MG INJ

Payers reporting HCPCS Q5114

Payer pricing summary

Low

$20

Average

$3.0k

Median

$888

High

$73.6k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +23 other terms	349	$45	$639	$2.0k	311%	173	$1 – $21.5k
2	Ucare professional · fee schedule · outpatient · +14 other terms	14	$1.8k	$1.8k	$524	29%	122	$52 – $2.9k
3	UnitedHealthcare fee schedule · outpatient · +26 other terms	640	$62	$241	$899	373%	76–94	$1 – $11.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	391	$78	$294	$844	287%	68–131	$0 – $11.4k
5	Wellmark fee schedule · outpatient · +15 other terms	22	$47	$49	$5	11%	36–54	$45 – $63
6	Healthpartners fee schedule · outpatient · +10 other terms	25	$62	$211	$540	256%	18	$37 – $2.6k
7	Cigna fee schedule · outpatient · +22 other terms	382	$74	$420	$1.2k	297%	17–44	$36 – $11.1k
8	Anthem fee schedule · outpatient · +23 other terms	139	$61	$196	$720	367%	17–44	$36 – $6.1k
9	Aetna fee schedule · outpatient · +27 other terms	413	$57	$416	$1.4k	345%	11–110	$1 – $19.3k
10	Molina fee schedule · outpatient · +22 other terms	138	$52	$92	$436	475%	—	$1 – $6.6k
11	WellCare fee schedule · outpatient · +14 other terms	120	$45	$48	$35	72%	—	$32 – $278
12	Caresource fee schedule · outpatient · +16 other terms	81	$52	$94	$265	282%	—	$1 – $3.5k
13	Kaiser fee schedule · outpatient · +18 other terms	79	$63	$362	$1.2k	328%	—	$29 – $10.0k
14	MultiPlan fee schedule · outpatient · +14 other terms	71	$2.2k	$3.5k	$4.4k	128%	—	$45 – $21.5k
15	Devoted fee schedule · outpatient · +12 other terms	63	$42	$72	$242	338%	—	$37 – $2.3k
16	Ambetter facility · fee schedule · outpatient · +13 other terms	62	$71	$129	$316	245%	—	$40 – $2.9k
17	Medica fee schedule · outpatient · +17 other terms	38	$726	$1.3k	$2.2k	172%	—	$42 – $10.6k
18	Highmark facility · fee schedule · outpatient · +17 other terms	37	$59	$92	$81	87%	—	$37 – $437
19	Optum fee schedule · outpatient · +14 other terms	36	$40	$2.4k	$2.9k	121%	—	$36 – $9.4k
20	Oscar facility · fee schedule · outpatient · +15 other terms	36	$52	$52	$13	25%	—	$33 – $100
21	Bcbs Tx fee schedule · outpatient · +3 other terms	29	$333	$312	$152	49%	—	$49 – $617
22	Clover fee schedule · outpatient · +7 other terms	29	$57	$70	$72	102%	—	$38 – $270
23	Medicare fee schedule · outpatient · +13 other terms	28	$39	$50	$30	60%	—	$37 – $270
24	Amerihealth Caritas facility · fee schedule · outpatient · +10 other terms	27	$42	$314	$965	307%	—	$32 – $3.8k
25	First Health fee schedule · outpatient · +13 other terms	24	$2.9k	$3.5k	$3.6k	101%	—	$45 – $13.5k

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