Amphotericin B injection, 50 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

AMPHOTERICIN B 50 MG IV SOLR

Maple Grove, MN

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $46 is 41% below the median hospital's median price ($77), higher than 21% of the 1,873 hospitals reporting HCPCS J0285. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0285 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 8 payers, 24 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 · both	$10	$10	—	—	—	$10 – $10
2	Blue Cross Blue Shield commercial fee schedule · both	$10	$10	—	—	—	$10 – $10
3	Medica bold fee schedule · both	$18	$18	—	—	—	$18 – $18
4	Medica choice without / elect fee schedule · both	$20	$20	—	—	—	$20 – $20
5	Medica city of st paul / essential uplan fee schedule · both	$20	$20	—	—	—	$20 – $20
6	Medica choice with fee schedule · both	$21	$21	—	—	—	$21 – $21
7	Ucare mhcp fee schedule · both	$33	$33	—	—	—	$33 – $33
8	Medicaid medicaid fee schedule · both	$36	$36	—	—	—	$36 – $36
9	Ucare ifp percent of total billed charges · outpatientfrom % of charges	$31	$40	$20	49%	—	$25 – $74
10	Ucare ifp with fairview percent of total billed charges · outpatientfrom % of charges	$31	$40	$20	49%	—	$25 – $74
11	Blue Cross Blue Shield federal fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
12	Blue Cross Blue Shield commercial fee schedule · outpatient	$43	$43	—	—	—	$43 – $43
13	Blue Cross Blue Shield medicaid fee schedule · outpatient	$43	$43	—	—	—	$43 – $43
14	Cigna commercial fee schedule · both	$46	$46	$4	9%	—	$42 – $50
15	Medica accessability fee schedule · both	$49	$49	—	—	—	$49 – $49
16	Medica medicaid fee schedule · both	$49	$49	—	—	—	$49 – $49
17	Medica ma non-snp fee schedule · both	$53	$53	—	—	—	$53 – $53
18	Medica ma snp fee schedule · both	$53	$53	—	—	—	$53 – $53
19	Medica prime solution fee schedule · both	$53	$53	—	—	—	$53 – $53
20	Medica vantage fee schedule · both	$53	$53	—	—	—	$53 – $53
21	Blue Cross Blue Shield medicaid fee schedule · both	$53	$53	—	—	—	$53 – $53
22	First Health commercial percent of total billed charges · outpatientfrom % of charges	$51	$66	$32	49%	—	$41 – $121
23	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$53	$68	$34	49%	—	$43 – $126
24	UnitedHealthcare commercial fee schedule · both	$89	$89	—	—	—	$89 – $89

Last updated: May 18, 2026

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