Ceftolozane-tazobactam antibiotic injection, 1.5 g 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CEFTOLOZANE-TAZOBACTAM 1.5 (1-0.5) G IV SOLR MIXTURE INGREDIENT

Maple Grove, MN

See all hospitals reporting HCPCS J0695 →

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $13 is 21% below the median hospital's median price ($16), higher than 41% of the 1,875 hospitals reporting HCPCS J0695. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0695 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	$7	$7	—	—	—	$7 – $7
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
4	Blue Cross Blue Shield federal fee schedule · both	$7	$7	—	—	—	$7 – $7
5	Blue Cross Blue Shield commercial fee schedule · both	$8	$8	—	—	—	$8 – $8
6	Medica accessability fee schedule · both	$8	$8	—	—	—	$8 – $8
7	Medica medicaid fee schedule · both	$8	$8	—	—	—	$8 – $8
8	Medica ma non-snp fee schedule · both	$9	$9	—	—	—	$9 – $9
9	Medica ma snp fee schedule · both	$9	$9	—	—	—	$9 – $9
10	Medica prime solution fee schedule · both	$9	$9	—	—	—	$9 – $9
11	Medica vantage fee schedule · both	$9	$9	—	—	—	$9 – $9
12	Cigna commercial fee schedule · both	$9	$9	$1	9%	—	$8 – $9
13	Ucare mhcp fee schedule · both	$9	$9	—	—	—	$9 – $9
14	UnitedHealthcare medicare advantage fee schedule · outpatient	$9	$9	—	—	—	$9 – $9
15	Blue Cross Blue Shield medicaid fee schedule · both	$9	$9	—	—	—	$9 – $9
16	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$9	$9	—	—	—	$9 – $9
17	Medicaid medicaid fee schedule · both	$10	$10	—	—	—	$10 – $10
18	Medica bold fee schedule · both	$14	$14	—	—	—	$14 – $14
19	UnitedHealthcare commercial fee schedule · both	$15	$15	—	—	—	$15 – $15
20	Cigna commercial fee schedule · outpatient	$15	$15	$1	9%	—	$14 – $16
21	Ucare ifp with fairview fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
22	Medica choice without / elect fee schedule · both	$15	$15	—	—	—	$15 – $15
23	Medica city of st paul / essential uplan fee schedule · both	$15	$15	—	—	—	$15 – $15
24	Medica choice with fee schedule · both	$16	$16	—	—	—	$16 – $16
25	Ucare ifp fee schedule · outpatient	$21	$21	—	—	—	$21 – $21

Page 1 of 2 · 27 rates

Last updated: May 18, 2026

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