Intramuscular gamma globulin injection, over 10 cc 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

Gamma globulin > 10 CC inj

Maple Grove, MN

See all hospitals reporting HCPCS J1560 →

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Pricing by billing methodology

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $499 is 50% above the median hospital's median price ($332), higher than 69% of the 1,169 hospitals reporting HCPCS J1560. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1560 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 6 payers, 25 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	Ucare mhcp fee schedule · both	$160	$160	—	—	—	$160 – $160
2	UnitedHealthcare medicare advantage fee schedule · outpatient	$168	$168	—	—	—	$168 – $168
3	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$174	$174	—	—	—	$174 – $174
4	Medicaid medicaid fee schedule · both	$178	$178	—	—	—	$178 – $178
5	Ucare ifp with fairview fee schedule · outpatient	$289	$289	—	—	—	$289 – $289
6	Ucare ifp fee schedule · outpatient	$385	$385	—	—	—	$385 – $385
7	Blue Cross Blue Shield federal fee schedule · outpatient	$479	$479	—	—	—	$479 – $479
8	Blue Cross Blue Shield commercial fee schedule · outpatient	$487	$487	—	—	—	$487 – $487
9	Blue Cross Blue Shield medicaid fee schedule · outpatient	$487	$487	—	—	—	$487 – $487
10	Medica accessability fee schedule · both	$499	$499	—	—	—	$499 – $499
11	Medica medicaid fee schedule · both	$499	$499	—	—	—	$499 – $499
12	Blue Cross Blue Shield federal fee schedule · both	$507	$507	—	—	—	$507 – $507
13	Blue Cross Blue Shield commercial fee schedule · both	$516	$516	—	—	—	$516 – $516
14	Medica ma non-snp fee schedule · both	$524	$524	—	—	—	$524 – $524
15	Medica ma snp fee schedule · both	$524	$524	—	—	—	$524 – $524
16	Medica prime solution fee schedule · both	$524	$524	—	—	—	$524 – $524
17	Medica vantage fee schedule · both	$524	$524	—	—	—	$524 – $524
18	Blue Cross Blue Shield medicaid fee schedule · both	$543	$543	—	—	—	$543 – $543
19	Cigna commercial fee schedule · both	$585	$585	$51	9%	—	$534 – $636
20	Cigna commercial fee schedule · outpatient	$600	$600	$52	9%	—	$548 – $652
21	UnitedHealthcare commercial fee schedule · both	$904	$904	—	—	—	$904 – $904
22	Medica bold fee schedule · both	$956	$956	—	—	—	$956 – $956
23	Medica choice without / elect fee schedule · both	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
24	Medica city of st paul / essential uplan fee schedule · both	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
25	Medica choice with fee schedule · both	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k

Last updated: May 18, 2026

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