Sodium thiosulfate injection, 100 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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

SODIUM THIOSULFATE 250 MG/ML IV SOLN

Maple Grove, MN

See all hospitals reporting HCPCS J0208 →

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Pricing by billing methodology

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $94 is 9% below the median hospital's median price ($102), higher than 12% of the 1,136 hospitals reporting HCPCS J0208. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0208 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 8 payers, 25 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	First Health commercial percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
2	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
3	Cigna commercial fee schedule · outpatient	$72	$72	$6	9%	—	$66 – $79
4	Ucare mhcp fee schedule · both	$88	$88	—	—	—	$88 – $88
5	Ucare ifp with fairview fee schedule · both	$88	$88	—	—	—	$88 – $88
6	Medica accessability fee schedule · both	$91	$91	—	—	—	$91 – $91
7	Medica medicaid fee schedule · both	$91	$91	—	—	—	$91 – $91
8	Ucare ifp fee schedule · both	$93	$93	—	—	—	$93 – $93
9	Blue Cross Blue Shield federal fee schedule · both	$93	$93	—	—	—	$93 – $93
10	UnitedHealthcare medicare advantage fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
11	Blue Cross Blue Shield commercial fee schedule · both	$95	$95	—	—	—	$95 – $95
12	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$97	$97	—	—	—	$97 – $97
13	Medicaid medicaid fee schedule · both	$98	$98	—	—	—	$98 – $98
14	Blue Cross Blue Shield medicaid fee schedule · both	$99	$99	—	—	—	$99 – $99
15	Medica ma non-snp fee schedule · both	$100	$100	—	—	—	$100 – $100
16	Medica ma snp fee schedule · both	$100	$100	—	—	—	$100 – $100
17	Medica prime solution fee schedule · both	$100	$100	—	—	—	$100 – $100
18	Medica vantage fee schedule · both	$100	$100	—	—	—	$100 – $100
19	Ucare ifp with fairview fee schedule · outpatient	$161	$161	—	—	—	$161 – $161
20	UnitedHealthcare commercial fee schedule · both	$171	$171	—	—	—	$171 – $171
21	Medica bold fee schedule · both	$177	$177	—	—	—	$177 – $177
22	Medica choice without / elect fee schedule · both	$197	$197	—	—	—	$197 – $197
23	Medica city of st paul / essential uplan fee schedule · both	$197	$197	—	—	—	$197 – $197
24	Medica choice with fee schedule · both	$204	$204	—	—	—	$204 – $204
25	Ucare ifp fee schedule · outpatient	$215	$215	—	—	—	$215 – $215

Last updated: May 18, 2026

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