APC 9331

Polatuzumab vedotin injection at Methodist Hospital

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

Inj, polatuzumab vedotin 1

SAN ANTONIO, TX

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Pricing by billing methodology

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How this price compares nationally

Methodist Hospital’s median price of $141 is about the same as the median hospital's median price ($141), higher than 46% of the 235 hospitals reporting APC 9331. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 9331 at Methodist Hospital

Negotiated rates from the hospital’s own file: 8 payers, 20 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	Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
2	Blue Cross Blue Shield mgmcrpos fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
3	Blue Cross Blue Shield mgmcrppo fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
4	Devoted dualeligible fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
5	Devoted mcrhmo fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
6	Devoted mcrpffs fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
7	Devoted mcrpos fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
8	Devoted mcrppo fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
9	Devoted mcrsnp fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
10	Aetna mcr fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
11	UnitedHealthcare mcr fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
12	WellCare mcrhmo fee schedule · outpatient	$141	$141	—	—	—	$141 – $141
13	WellCare mcrpos fee schedule · outpatient	$141	$141	—	—	—	$141 – $141
14	WellCare mcrppo fee schedule · outpatient	$141	$141	—	—	—	$141 – $141
15	WellCare mcrsnp fee schedule · outpatient	$141	$141	—	—	—	$141 – $141
16	WellCare pffs fee schedule · outpatient	$141	$141	—	—	—	$141 – $141
17	Clover mcr fee schedule · outpatient	$144	$144	—	—	—	$144 – $144
18	Molina mcr fee schedule · outpatient	$218	$218	—	—	—	$218 – $218
19	Molina mme-mmp fee schedule · outpatient	$218	$218	—	—	—	$218 – $218
20	Optum comm fee schedule · outpatient	$343	$343	—	—	—	$343 – $343

Last updated: May 1, 2026

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