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
polatuzumab vedotin-piiq 140 mg intravenous solution
Buda, TX
See all hospitals reporting HCPCS J9309 →Price type
Baylor Scott & White Medical Center - Buda’s median price of $25.0k is 11004% above the median hospital's median price ($225), higher than 94% of the 1,685 hospitals reporting HCPCS J9309. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 2 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · fee schedule · inpatient | $132 | $132 | — | — | — | $132 – $132 |
| 3 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · fee schedule · inpatient | $137 | $137 | — | — | — | $137 – $137 |
| 4 | Humana medicare facility · fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 5 | Superior Healthplan medicare hmo/medicare ppo facility · fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 6 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · fee schedule · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 7 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · fee schedule · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 8 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $144 | $144 | — | — | — | $144 – $144 |
| 9 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 10 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $165 | $165 | — | — | — | $165 – $165 |
| 11 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $172 | $172 | — | — | — | $172 – $172 |
| 12 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $226 | $226 | — | — | — | $226 – $226 |
| 13 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 14 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 15 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $25.0k | $25.0k | — | — | — | $25.0k – $25.0k |
| 16 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $25.0k | $25.0k | — | — | — | $25.0k – $25.0k |
| 17 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $25.2k | $25.2k | — | — | — | $25.2k – $25.2k |
| 18 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $26.7k | $26.7k | — | — | — | $26.7k – $26.7k |
| 19 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $28.8k | $28.8k | — | — | — | $28.8k – $28.8k |
| 20 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $29.4k | $29.4k | — | — | — | $29.4k – $29.4k |
| 21 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $29.8k | $29.8k | — | — | — | $29.8k – $29.8k |
| 22 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges | $30.4k | $30.4k | — | — | — | $30.4k – $30.4k |
| 23 | Humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges | $35.3k | $35.3k | — | — | — | $35.3k – $35.3k |
| 24 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $35.3k | $35.3k | — | — | — | $35.3k – $35.3k |
| 25 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $38.0k | $38.0k | — | — | — | $38.0k – $38.0k |
Last updated: Jun 13, 2026
See Injection of polatuzumab vedotin, per milligram pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.