Dihydroergotamine injection, 1 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

DIHYDROERGOTAMINE MESYLATE 1 MG/ML IJ SOLN

Maple Grove, MN

See all hospitals reporting HCPCS J1110 →

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $105 is 22% below the median hospital's median price ($135), higher than 38% of the 1,930 hospitals reporting HCPCS J1110. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1110 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	$42	$42	—	—	—	$42 – $42
2	Blue Cross Blue Shield commercial fee schedule · both	$43	$43	—	—	—	$43 – $43
3	Medica ma non-snp fee schedule · both	$44	$44	—	—	—	$44 – $44
4	Medica ma snp fee schedule · both	$44	$44	—	—	—	$44 – $44
5	Medica prime solution fee schedule · both	$44	$44	—	—	—	$44 – $44
6	Medica vantage fee schedule · both	$44	$44	—	—	—	$44 – $44
7	Cigna commercial fee schedule · both	$44	$44	$4	9%	—	$40 – $48
8	Medica accessability fee schedule · both	$48	$48	—	—	—	$48 – $48
9	Medica medicaid fee schedule · both	$48	$48	—	—	—	$48 – $48
10	Blue Cross Blue Shield medicaid fee schedule · both	$52	$52	—	—	—	$52 – $52
11	Blue Cross Blue Shield federal fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
12	Blue Cross Blue Shield commercial fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
13	Blue Cross Blue Shield medicaid fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
14	Medica bold fee schedule · both	$80	$80	—	—	—	$80 – $80
15	UnitedHealthcare commercial fee schedule · both	$87	$87	—	—	—	$87 – $87
16	Medica choice without / elect fee schedule · both	$89	$89	—	—	—	$89 – $89
17	Medica city of st paul / essential uplan fee schedule · both	$89	$89	—	—	—	$89 – $89
18	Medica choice with fee schedule · both	$92	$92	—	—	—	$92 – $92
19	Ucare mhcp fee schedule · both	$93	$93	—	—	—	$93 – $93
20	Medicaid medicaid fee schedule · both	$104	$104	—	—	—	$104 – $104
21	Ucare ifp percent of total billed charges · outpatientfrom % of charges	$178	$222	$80	36%	—	$154 – $334
22	Ucare ifp with fairview percent of total billed charges · outpatientfrom % of charges	$178	$222	$80	36%	—	$154 – $334
23	First Health commercial percent of total billed charges · outpatientfrom % of charges	$293	$364	$131	36%	—	$253 – $548
24	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$303	$378	$135	36%	—	$262 – $568

Last updated: May 18, 2026

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