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
Ozark, MO
See all hospitals reporting HCPCS J9309 →Price type
Mercy Hospital Springfield’s median price of $27.8k is 12286% above the median hospital's median price ($225), higher than 95% 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: 16 payers, 37 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 | Aetna hb sprg medicare facility · other · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 2 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 3 | Cigna hb sprg medicare facility · other · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 4 | Humana hb sprg humana medicare 100% facility · other · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 5 | Medica hb sprg medicare facility · other · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 6 | Medicare hb sprg medicare facility · other · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 7 | Tricare hb sprg tricare facility · other · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 8 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 9 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 10 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 11 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 12 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $13.2k | $13.2k | $1 | 0% | — | $13.2k – $13.2k |
| 13 | Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $13.2k | $13.2k | $1 | 0% | — | $13.2k – $13.2k |
| 14 | UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $13.2k | $13.2k | $1 | 0% | — | $13.2k – $13.2k |
| 15 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $18.6k | $18.6k | — | — | — | $18.6k – $18.6k |
| 16 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $18.6k | $18.6k | — | — | — | $18.6k – $18.6k |
| 17 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $18.6k | $18.6k | — | — | — | $18.6k – $18.6k |
| 18 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $19.1k | $19.1k | — | — | — | $19.1k – $19.1k |
| 19 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $26.1k | $26.1k | $2 | 0% | — | $26.1k – $26.1k |
| 20 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $26.9k | $26.9k | $2 | 0% | — | $26.9k – $26.9k |
| 21 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $27.8k | $27.8k | — | — | — | $27.8k – $27.8k |
| 22 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $27.8k | $27.8k | — | — | — | $27.8k – $27.8k |
| 23 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $27.8k | $27.8k | — | — | — | $27.8k – $27.8k |
| 24 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $27.8k | $27.8k | — | — | — | $27.8k – $27.8k |
| 25 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $27.8k | $27.8k | — | — | — | $27.8k – $27.8k |
Last updated: Jun 4, 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.