APC 09331
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 1 30 MG INJ
Washington, DC
See all hospitals reporting APC 09331 →Price type
MedStar Georgetown Hospital’s median price of $140 is 4% above the median hospital's median price ($135), higher than 85% of the 144 hospitals reporting APC 09331. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 5 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 | Carefirst carefirst medicare advantage facility · fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 2 | Tricare tricare facility · fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 3 | UnitedHealthcare united secure facility · fee schedule · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 4 | Aetna aetna medicare facility · fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 5 | Humana humana medicare advantage facility · fee schedule · outpatient | $144 | $144 | — | — | — | $144 – $144 |
Last updated: Apr 1, 2026
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