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
Instill pharm renal pelvis
Maple Grove, MN
See all hospitals reporting HCPCS C9789 →Price type
Fairview Maple Grove Surgery Center’s median price of $1.4k is 47% below the median hospital's median price ($2.6k), higher than 15% of the 1,117 hospitals reporting HCPCS C9789. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 20 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 | Medica accessability fee schedule · outpatient | $765 | $765 | — | — | — | $765 – $765 |
| 2 | Medica medicaid fee schedule · outpatient | $895 | $895 | — | — | — | $895 – $895 |
| 3 | Blue Cross Blue Shield federal fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 4 | Blue Cross Blue Shield commercial fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 5 | Medica ma snp fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 6 | Medica ma non-snp fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 7 | UnitedHealthcare medicare advantage fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | Medicaid medicaid fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | Blue Cross Blue Shield medicare advantage fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 10 | Ucare mhcp fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | Medica bold fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 12 | Ucare ifp with fairview fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 13 | Medica city of st paul / essential uplan fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 14 | Medica vantage fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 15 | Medica choice without / elect fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 16 | Medica prime solution fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 17 | Medica choice with fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 18 | Cigna commercial fee schedule · outpatient | $2.5k | $2.5k | $217 | 9% | — | $2.3k – $2.7k |
| 19 | Ucare ifp fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 20 | UnitedHealthcare commercial fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
Last updated: May 18, 2026
See Kidney pelvis drug instillation with imaging guidance pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.