Brolucizumab injection, per 1 mg at Fairview Maple Grove Surgery Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

BROLUCIZUMAB-DBLL 6 MG/0.05ML IZ SOSY

Maple Grove, MN

See all hospitals reporting HCPCS J0179 →

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $370 is 7% below the median hospital's median price ($397), higher than 43% of the 1,152 hospitals reporting HCPCS J0179. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0179 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 8 payers, 27 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	$313	$313	—	—	—	$313 – $313
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$319	$319	—	—	—	$319 – $319
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$319	$319	—	—	—	$319 – $319
4	Blue Cross Blue Shield federal fee schedule · both	$325	$325	—	—	—	$325 – $325
5	Blue Cross Blue Shield commercial fee schedule · both	$331	$331	—	—	—	$331 – $331
6	Ucare mhcp fee schedule · both	$332	$332	—	—	—	$332 – $332
7	Medica accessability fee schedule · both	$333	$333	—	—	—	$333 – $333
8	Medica medicaid fee schedule · both	$333	$333	—	—	—	$333 – $333
9	UnitedHealthcare medicare advantage fee schedule · outpatient	$341	$341	—	—	—	$341 – $341
10	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$354	$354	—	—	—	$354 – $354
11	Medica ma non-snp fee schedule · both	$359	$359	—	—	—	$359 – $359
12	Medica ma snp fee schedule · both	$359	$359	—	—	—	$359 – $359
13	Medica prime solution fee schedule · both	$359	$359	—	—	—	$359 – $359
14	Medica vantage fee schedule · both	$359	$359	—	—	—	$359 – $359
15	Blue Cross Blue Shield medicaid fee schedule · both	$362	$362	—	—	—	$362 – $362
16	Medicaid medicaid fee schedule · both	$370	$370	—	—	—	$370 – $370
17	Cigna commercial fee schedule · both	$388	$388	$34	9%	—	$355 – $422
18	Ucare ifp with fairview fee schedule · outpatient	$587	$587	—	—	—	$587 – $587
19	UnitedHealthcare commercial fee schedule · both	$603	$603	—	—	—	$603 – $603
20	Cigna commercial fee schedule · outpatient	$608	$608	$53	9%	—	$555 – $661
21	Medica bold fee schedule · both	$613	$613	—	—	—	$613 – $613
22	Medica choice without / elect fee schedule · both	$681	$681	—	—	—	$681 – $681
23	Medica city of st paul / essential uplan fee schedule · both	$681	$681	—	—	—	$681 – $681
24	Medica choice with fee schedule · both	$705	$705	—	—	—	$705 – $705
25	Ucare ifp fee schedule · outpatient	$783	$783	—	—	—	$783 – $783

Page 1 of 2 · 27 rates

Last updated: May 18, 2026

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