APC 9204

Tisotumab vedotin injection at Metropolitan Methodist

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 tisotu vedotin-tftv, 1

SAN ANTONIO, TX

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How this price compares nationally

Metropolitan Methodist’s median price of $202 is about the same as the median hospital's median price ($202), higher than 52% of the 225 hospitals reporting APC 9204. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 9204 at Metropolitan Methodist

Negotiated rates from the hospital’s own file: 7 payers, 19 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	$196	$196	—	—	—	$196 – $196
2	Blue Cross Blue Shield mgmcrpos fee schedule · outpatient	$196	$196	—	—	—	$196 – $196
3	Blue Cross Blue Shield mgmcrppo fee schedule · outpatient	$196	$196	—	—	—	$196 – $196
4	Devoted dualeligible fee schedule · outpatient	$196	$196	—	—	—	$196 – $196
5	Devoted mcrhmo fee schedule · outpatient	$196	$196	—	—	—	$196 – $196
6	Devoted mcrpffs fee schedule · outpatient	$196	$196	—	—	—	$196 – $196
7	Devoted mcrpos fee schedule · outpatient	$196	$196	—	—	—	$196 – $196
8	Devoted mcrppo fee schedule · outpatient	$196	$196	—	—	—	$196 – $196
9	Devoted mcrsnp fee schedule · outpatient	$196	$196	—	—	—	$196 – $196
10	Aetna mcr fee schedule · outpatient	$200	$200	—	—	—	$200 – $200
11	UnitedHealthcare mcr fee schedule · outpatient	$200	$200	—	—	—	$200 – $200
12	WellCare mcrhmo fee schedule · outpatient	$202	$202	—	—	—	$202 – $202
13	WellCare mcrpos fee schedule · outpatient	$202	$202	—	—	—	$202 – $202
14	WellCare mcrppo fee schedule · outpatient	$202	$202	—	—	—	$202 – $202
15	WellCare mcrsnp fee schedule · outpatient	$202	$202	—	—	—	$202 – $202
16	WellCare pffs fee schedule · outpatient	$202	$202	—	—	—	$202 – $202
17	Clover mcr fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
18	Molina mcr fee schedule · outpatient	$312	$312	—	—	—	$312 – $312
19	Molina mme-mmp fee schedule · outpatient	$312	$312	—	—	—	$312 – $312

Last updated: May 1, 2026

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