50242-105-01 — Polatuzumab Vedotin-piiq 140 Mg IV Solr
Cite this view
HANK Price Transparency. (n.d.). POLATUZUMAB VEDOTIN-PIIQ 140 MG IV SOLR (NDC 50242-105-01) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/50242-105-01?code_type=NDC
“POLATUZUMAB VEDOTIN-PIIQ 140 MG IV SOLR (NDC 50242-105-01) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/50242-105-01?code_type=NDC. Accessed .
“POLATUZUMAB VEDOTIN-PIIQ 140 MG IV SOLR (NDC 50242-105-01) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/50242-105-01?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $79–$138 (25th–75th percentile) across 3 hospitals · 10 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 50242-105-01 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| HARTFORD HOSPITAL Inpatient | CIGNA | CIGNA MANAGED CARE | $42.89 | $138.36 | $138.36 | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL | Medicaid/Medicaid Mco | — | $55.65 | $450.58 | $450.58 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Medicaid/Medicaid Mco | — | $57.53 | $465.86 | $465.86 | 2026-07-17 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | UNITED | UNITED MANAGED CARE | $59.16 | $138.36 | $138.36 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | OXFORD | UNITED MANAGED CARE - OXFORD ONLY | $59.16 | $138.36 | $138.36 | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL | Medicare/Medicare Advantage | — | $63.71 | $450.58 | $450.58 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Medicare/Medicare Advantage | — | $65.87 | $465.86 | $465.86 | 2026-07-17 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | AETNA | AETNA MANAGED CARE | $70.56 | $138.36 | $138.36 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | AETNA | AETNA MANAGED CARE - MIDDLESEX ONLY | $70.56 | $138.36 | $138.36 | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL | Medicaid/Medicaid Mco | — | $77.68 | $450.58 | $450.58 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Medicaid/Medicaid Mco | — | $80.31 | $465.86 | $465.86 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Medicare/Medicare Advantage | — | $88.31 | $450.58 | $450.58 | 2026-07-17 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MANAGED CARE | $90.54 | $138.36 | $138.36 | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL | Medicare/Medicare Advantage | — | $91.31 | $465.86 | $465.86 | 2026-07-17 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | AETNA | AETNA SIGNATURE ADMINISTRATORS | $95.61 | $138.36 | $138.36 | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL | Blue Cross Blue Shield | — | $98.36 | $450.58 | $450.58 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Blue Cross Blue Shield | — | $101.02 | $450.58 | $450.58 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Blue Cross Blue Shield | — | $101.70 | $465.86 | $465.86 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Blue Cross Blue Shield | — | $104.44 | $465.86 | $465.86 | 2026-07-17 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | ANTHEM | ANTHEM INDEMNITY/TRADITIONAL | $107.48 | $138.36 | $138.36 | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL | Aetna | — | $107.51 | $450.58 | $450.58 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Aetna | — | $111.15 | $465.86 | $465.86 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | United Healthcare | — | $114.27 | $450.58 | $450.58 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | United Healthcare | — | $115.57 | $450.58 | $450.58 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | United Healthcare | — | $118.14 | $465.86 | $465.86 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Cigna | — | $119.09 | $450.58 | $450.58 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | United Healthcare | — | $119.49 | $465.86 | $465.86 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Cigna | — | $123.13 | $465.86 | $465.86 | 2026-07-17 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | ANTHEM | ANTHEM INDIVIDUAL | $138.36 | $138.36 | $138.36 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | ANTHEM | ANTHEM MANAGED CARE | $138.36 | $138.36 | $138.36 | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL | Humana | — | $138.42 | $450.58 | $450.58 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Humana | — | $140.04 | $450.58 | $450.58 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Humana | — | $143.11 | $465.86 | $465.86 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Humana | — | $144.79 | $465.86 | $465.86 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Aetna | — | $145.58 | $450.58 | $450.58 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Aetna | — | $150.52 | $465.86 | $465.86 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Cigna | — | $184.38 | $450.58 | $450.58 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Cigna | — | $190.63 | $465.86 | $465.86 | 2026-07-17 | MRF ↗ |
| GREATER BALTIMORE MEDICAL CENTER BothFacility | ALL PAYERS | ALL PLANS | $31,200.00 | $31,200.00 | $30,576.00 | 2026-07-01 | MRF ↗ |