Injection of givosiran 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

GIVOSIRAN SODIUM 189 MG/ML SC SOLN

Maple Grove, MN

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $123 is 14% below the median hospital's median price ($143), higher than 34% of the 1,254 hospitals reporting HCPCS J0223. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0223 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	$110	$110	—	—	—	$110 – $110
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$112	$112	—	—	—	$112 – $112
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$112	$112	—	—	—	$112 – $112
4	Blue Cross Blue Shield federal fee schedule · both	$112	$112	—	—	—	$112 – $112
5	Medica accessability fee schedule · both	$112	$112	—	—	—	$112 – $112
6	Medica medicaid fee schedule · both	$112	$112	—	—	—	$112 – $112
7	Ucare mhcp fee schedule · both	$112	$112	—	—	—	$112 – $112
8	Blue Cross Blue Shield commercial fee schedule · both	$114	$114	—	—	—	$114 – $114
9	UnitedHealthcare medicare advantage fee schedule · outpatient	$115	$115	—	—	—	$115 – $115
10	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$120	$120	—	—	—	$120 – $120
11	Blue Cross Blue Shield medicaid fee schedule · both	$122	$122	—	—	—	$122 – $122
12	Medica ma non-snp fee schedule · both	$122	$122	—	—	—	$122 – $122
13	Medica ma snp fee schedule · both	$122	$122	—	—	—	$122 – $122
14	Medica prime solution fee schedule · both	$122	$122	—	—	—	$122 – $122
15	Medica vantage fee schedule · both	$122	$122	—	—	—	$122 – $122
16	Medicaid medicaid fee schedule · both	$125	$125	—	—	—	$125 – $125
17	Cigna commercial fee schedule · both	$134	$134	$12	9%	—	$122 – $145
18	Cigna commercial fee schedule · outpatient	$135	$135	$12	9%	—	$123 – $147
19	Ucare ifp with fairview fee schedule · outpatient	$199	$199	—	—	—	$199 – $199
20	UnitedHealthcare commercial fee schedule · both	$203	$203	—	—	—	$203 – $203
21	Medica bold fee schedule · both	$211	$211	—	—	—	$211 – $211
22	Medica choice without / elect fee schedule · both	$235	$235	—	—	—	$235 – $235
23	Medica city of st paul / essential uplan fee schedule · both	$235	$235	—	—	—	$235 – $235
24	Medica choice with fee schedule · both	$243	$243	—	—	—	$243 – $243
25	Ucare ifp fee schedule · outpatient	$265	$265	—	—	—	$265 – $265

Page 1 of 2 · 27 rates

Last updated: May 18, 2026

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