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
Inj follitropin beta 75 iu
Edina, MN
See all hospitals reporting HCPCS S0128 →Price type
Fairview Health Services’s median price of $300 is 16% above the median hospital's median price ($260), higher than 57% of the 744 hospitals reporting HCPCS S0128. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 21 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 | Bcbs Mn aware federal fee schedule · both | $206 | $206 | — | — | — | $206 – $206 |
| 2 | Bcbs Mn aware/blue plus fee schedule · both | $210 | $210 | — | — | — | $210 – $210 |
| 3 | Bcbs Mn pmap fee schedule · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 4 | Medica medicare advantage non-snp fee schedule · both | $231 | $231 | — | — | — | $231 – $231 |
| 5 | Medica msho/medicare advantage snp fee schedule · both | $235 | $235 | — | — | — | $235 – $235 |
| 6 | Medica managed medicaid/accessability fee schedule · outpatient | $268 | $268 | — | — | — | $268 – $268 |
| 7 | Medica msho/medicare advantage snp fee schedule · outpatient | $289 | $289 | — | — | — | $289 – $289 |
| 8 | UnitedHealthcare commercial fee schedule · both | $300 | $300 | — | — | — | $300 – $300 |
| 9 | UnitedHealthcare core fee schedule · both | $300 | $300 | — | — | — | $300 – $300 |
| 10 | Medica bold fee schedule · both | $410 | $410 | — | — | — | $410 – $410 |
| 11 | Medica vantage self insured fee schedule · both | $444 | $444 | — | — | — | $444 – $444 |
| 12 | Medica city of st. paul/essential-uplan fee schedule · both | $456 | $456 | — | — | — | $456 – $456 |
| 13 | Medica individual and family business except aco fee schedule · both | $456 | $456 | — | — | — | $456 – $456 |
| 14 | Medica choice fee schedule · both | $472 | $472 | — | — | — | $472 – $472 |
| 15 | Medica bold fee schedule · outpatient | $495 | $495 | — | — | — | $495 – $495 |
| 16 | Medica city of st. paul/essential-uplan fee schedule · outpatient | $513 | $513 | — | — | — | $513 – $513 |
| 17 | Bcbs Mn aware federal fee schedule · outpatient | $516 | $516 | — | — | — | $516 – $516 |
| 18 | Bcbs Mn aware/blue plus fee schedule · outpatient | $525 | $525 | — | — | — | $525 – $525 |
| 19 | Medica vantage self insured fee schedule · outpatient | $539 | $539 | — | — | — | $539 – $539 |
| 20 | Medica individual and family business except aco fee schedule · outpatient | $551 | $551 | — | — | — | $551 – $551 |
| 21 | Medica choice fee schedule · outpatient | $570 | $570 | — | — | — | $570 – $570 |
Last updated: Feb 6, 2026
See Follitropin beta injection, 75 IU pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.