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
CAPLACIZUMAB-YHDP 11 MG IJ KIT
Maple Grove, MN
See all hospitals reporting HCPCS C9047 →Price type
Fairview Maple Grove Surgery Center’s median price of $1.9k is 23% above the median hospital's median price ($1.5k), higher than 59% of the 1,191 hospitals reporting HCPCS C9047. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 9 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 federal fee schedule · outpatient | $735 | $735 | — | — | — | $735 – $735 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $748 | $748 | — | — | — | $748 – $748 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $748 | $748 | — | — | — | $748 – $748 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $764 | $764 | — | — | — | $764 – $764 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $778 | $778 | — | — | — | $778 – $778 |
| 6 | Ucare ifp percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 7 | Ucare ifp with fairview percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 8 | First Health commercial percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 9 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
Last updated: May 18, 2026
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