Phenobarbital sodium injection 65 mg/mL 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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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN

Maple Grove, MN

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $59 is 2% below the median hospital's median price ($60), higher than 49% of the 2,177 hospitals reporting HCPCS J2560. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J2560 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	Ucare mhcp fee schedule · both	$26	$26	—	—	—	$26 – $26
2	Medicaid medicaid fee schedule · both	$29	$29	—	—	—	$29 – $29
3	Medica accessability fee schedule · both	$31	$31	—	—	—	$31 – $31
4	Medica medicaid fee schedule · both	$31	$31	—	—	—	$31 – $31
5	Blue Cross Blue Shield federal fee schedule · both	$31	$31	—	—	—	$31 – $31
6	Blue Cross Blue Shield commercial fee schedule · both	$32	$32	—	—	—	$32 – $32
7	Medica ma non-snp fee schedule · both	$33	$33	—	—	—	$33 – $33
8	Medica ma snp fee schedule · both	$33	$33	—	—	—	$33 – $33
9	Medica prime solution fee schedule · both	$33	$33	—	—	—	$33 – $33
10	Medica vantage fee schedule · both	$33	$33	—	—	—	$33 – $33
11	Blue Cross Blue Shield medicaid fee schedule · both	$34	$34	—	—	—	$34 – $34
12	Cigna commercial fee schedule · both	$39	$39	$3	9%	—	$36 – $43
13	Blue Cross Blue Shield federal fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
14	Blue Cross Blue Shield commercial fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
15	Blue Cross Blue Shield medicaid fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
16	UnitedHealthcare commercial fee schedule · both	$57	$57	—	—	—	$57 – $57
17	Medica bold fee schedule · both	$59	$59	—	—	—	$59 – $59
18	Medica choice without / elect fee schedule · both	$66	$66	—	—	—	$66 – $66
19	Medica city of st paul / essential uplan fee schedule · both	$66	$66	—	—	—	$66 – $66
20	Medica choice with fee schedule · both	$68	$68	—	—	—	$68 – $68
21	Ucare ifp percent of total billed charges · outpatientfrom % of charges	$93	$94	$32	34%	—	$25 – $151
22	Ucare ifp with fairview percent of total billed charges · outpatientfrom % of charges	$93	$94	$32	34%	—	$25 – $151
23	First Health commercial percent of total billed charges · outpatientfrom % of charges	$153	$155	$53	34%	—	$42 – $247
24	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$159	$160	$55	34%	—	$43 – $256

Last updated: May 18, 2026

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