Injection of edaravone, per milligram 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

EDARAVONE 30 MG/100ML IV SOLN

Maple Grove, MN

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $23 is 6% below the median hospital's median price ($24), higher than 43% of the 1,362 hospitals reporting HCPCS J1301. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1301 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 accessability fee schedule · both	$4	$4	—	—	—	$4 – $4
2	Medica medicaid fee schedule · both	$4	$4	—	—	—	$4 – $4
3	Ucare mhcp fee schedule · both	$18	$18	—	—	—	$18 – $18
4	Blue Cross Blue Shield medicaid fee schedule · both	$20	$20	—	—	—	$20 – $20
5	Medicaid medicaid fee schedule · both	$20	$20	—	—	—	$20 – $20
6	UnitedHealthcare medicare advantage fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
7	Blue Cross Blue Shield federal fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
8	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
9	Blue Cross Blue Shield commercial fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
10	Blue Cross Blue Shield medicaid fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
11	Blue Cross Blue Shield federal fee schedule · both	$22	$22	—	—	—	$22 – $22
12	Blue Cross Blue Shield commercial fee schedule · both	$22	$22	—	—	—	$22 – $22
13	Medica ma non-snp fee schedule · both	$23	$23	—	—	—	$23 – $23
14	Medica ma snp fee schedule · both	$23	$23	—	—	—	$23 – $23
15	Medica prime solution fee schedule · both	$23	$23	—	—	—	$23 – $23
16	Medica vantage fee schedule · both	$23	$23	—	—	—	$23 – $23
17	Cigna commercial fee schedule · both	$26	$26	$2	9%	—	$24 – $28
18	Cigna commercial fee schedule · outpatient	$27	$27	$2	9%	—	$24 – $29
19	Ucare ifp with fairview fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
20	UnitedHealthcare commercial fee schedule · both	$40	$40	—	—	—	$40 – $40
21	Medica bold fee schedule · both	$41	$41	—	—	—	$41 – $41
22	Medica choice without / elect fee schedule · both	$46	$46	—	—	—	$46 – $46
23	Medica city of st paul / essential uplan fee schedule · both	$46	$46	—	—	—	$46 – $46
24	Medica choice with fee schedule · both	$47	$47	—	—	—	$47 – $47
25	Ucare ifp fee schedule · outpatient	$47	$47	—	—	—	$47 – $47

Page 1 of 2 · 27 rates

Last updated: May 18, 2026

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