Injection of cidofovir, 375 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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Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CIDOFOVIR 75 MG/ML IV SOLN

Maple Grove, MN

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $636 is 7% below the median hospital's median price ($686), higher than 46% of the 1,659 hospitals reporting HCPCS J0740. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0740 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	Medica ma non-snp fee schedule · both	$319	$319	—	—	—	$319 – $319
2	Medica ma snp fee schedule · both	$319	$319	—	—	—	$319 – $319
3	Medica prime solution fee schedule · both	$319	$319	—	—	—	$319 – $319
4	Medica vantage fee schedule · both	$319	$319	—	—	—	$319 – $319
5	Ucare mhcp fee schedule · both	$507	$507	—	—	—	$507 – $507
6	Medica accessability fee schedule · both	$528	$528	—	—	—	$528 – $528
7	Medica medicaid fee schedule · both	$528	$528	—	—	—	$528 – $528
8	UnitedHealthcare medicare advantage fee schedule · outpatient	$538	$538	—	—	—	$538 – $538
9	Blue Cross Blue Shield federal fee schedule · both	$554	$554	—	—	—	$554 – $554
10	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$559	$559	—	—	—	$559 – $559
11	Blue Cross Blue Shield commercial fee schedule · both	$564	$564	—	—	—	$564 – $564
12	Medicaid medicaid fee schedule · both	$566	$566	—	—	—	$566 – $566
13	Blue Cross Blue Shield medicaid fee schedule · both	$575	$575	—	—	—	$575 – $575
14	First Health commercial percent of total billed charges · outpatientfrom % of charges	$576	$584	$307	52%	—	$167 – $1.0k
15	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$597	$606	$318	52%	—	$173 – $1.1k
16	Blue Cross Blue Shield federal fee schedule · outpatient	$630	$630	—	—	—	$630 – $630
17	Blue Cross Blue Shield commercial fee schedule · outpatient	$641	$641	—	—	—	$641 – $641
18	Blue Cross Blue Shield medicaid fee schedule · outpatient	$641	$641	—	—	—	$641 – $641
19	Cigna commercial fee schedule · both	$693	$693	$60	9%	—	$633 – $753
20	Ucare ifp with fairview fee schedule · outpatient	$927	$927	—	—	—	$927 – $927
21	UnitedHealthcare commercial fee schedule · both	$957	$957	—	—	—	$957 – $957
22	Cigna commercial fee schedule · outpatient	$965	$965	$84	9%	—	$881 – $1.0k
23	Medica bold fee schedule · both	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
24	Medica choice without / elect fee schedule · both	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
25	Medica city of st paul / essential uplan fee schedule · both	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k

Page 1 of 2 · 27 rates

Last updated: May 18, 2026

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