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
Gallium ga-68 dotatoc
Maple Grove, MN
See all hospitals reporting HCPCS C9067 →Price type
Fairview Maple Grove Surgery Center’s median price of $4 is 20% below the median hospital's median price ($5), higher than 37% of the 966 hospitals reporting HCPCS C9067. 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, 10 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 | Cigna commercial fee schedule · outpatient | $3 | $3 | $0 | 9% | — | $3 – $3 |
| 2 | UnitedHealthcare medicare advantage fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Blue Cross Blue Shield medicare advantage fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Ucare ifp with fairview fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 5 | Ucare ifp fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 6 | Blue Cross Blue Shield federal fee schedule · both | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 7 | Blue Cross Blue Shield federal fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 8 | Blue Cross Blue Shield commercial fee schedule · both | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 9 | Blue Cross Blue Shield commercial fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 10 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
Last updated: May 18, 2026
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