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
Hanover, PA
See all hospitals reporting HCPCS J9309 →Price type
UPMC Hanover’s median price of $1.9k is 758% above the median hospital's median price ($225), higher than 73% of the 1,679 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: 9 payers, 22 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 | Highmark medicare facility · fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 2 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 3 | Humana medicare facility · fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 4 | Aetna medicare facility · fee schedule · outpatient | $143 | $143 | — | — | — | $143 – $143 |
| 5 | Cigna medicare facility · fee schedule · outpatient | $144 | $144 | — | — | — | $144 – $144 |
| 6 | UnitedHealthcare medicare facility · fee schedule · outpatient | $146 | $146 | — | — | — | $146 – $146 |
| 7 | Cigna commercial facility · fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 8 | Highmark medicaid facility · fee schedule · outpatient | $296 | $296 | $157 | 53% | — | $139 – $453 |
| 9 | Highmark commercial facility · fee schedule · outpatient | $486 | $486 | — | — | — | $486 – $486 |
| 10 | UnitedHealthcare commercial facility · fee schedule · outpatient | $873 | $873 | — | — | — | $873 – $873 |
| 11 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $1.3k | 65% | — | $714 – $3.3k |
| 12 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $6.4k | $6.4k | $4.1k | 65% | — | $2.3k – $10.5k |
| 13 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $6.6k | $6.6k | $4.2k | 65% | — | $2.3k – $10.8k |
| 14 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $6.7k | $6.7k | $4.3k | 65% | — | $2.4k – $11.0k |
| 15 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $7.2k | $7.2k | $4.7k | 65% | — | $2.6k – $11.9k |
| 16 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $7.2k | $7.2k | $4.7k | 65% | — | $2.6k – $11.9k |
| 17 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $8.2k | $8.2k | $5.3k | 65% | — | $2.9k – $13.5k |
| 18 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $8.6k | $8.6k | $5.5k | 65% | — | $3.0k – $14.1k |
| 19 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $9.1k | $9.1k | $5.9k | 65% | — | $3.2k – $14.9k |
| 20 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $9.1k | $9.1k | $5.9k | 65% | — | $3.2k – $14.9k |
| 21 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $9.1k | $9.1k | $5.9k | 65% | — | $3.2k – $14.9k |
| 22 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $9.1k | $9.1k | $5.9k | 65% | — | $3.2k – $14.9k |
Last updated: Mar 6, 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.