Pralidoxime chloride injection 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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Generated: October 20, 2026

Original text from hospital filings

PHENYLEPHRINE HCL-NACL 1-0.9 MG/10ML-% IV SOSY

Maple Grove, MN

See all hospitals reporting HCPCS J2730 →

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $92 is 54% below the median hospital's median price ($198), higher than 12% of the 1,648 hospitals reporting HCPCS J2730. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J2730 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 8 payers, 26 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 ifp percent of total billed charges · outpatientfrom % of charges	$25	$25	—	—	—	$25 – $25
2	Ucare ifp with fairview percent of total billed charges · outpatientfrom % of charges	$25	$25	—	—	—	$25 – $25
3	First Health commercial percent of total billed charges · outpatientfrom % of charges	$41	$41	—	—	—	$41 – $41
4	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
5	Ucare mhcp fee schedule · both	$88	$88	—	—	—	$88 – $88
6	Blue Cross Blue Shield federal fee schedule · both	$88	$88	—	—	—	$88 – $88
7	Blue Cross Blue Shield federal fee schedule · outpatient	$88	$88	—	—	—	$88 – $88
8	Ucare ifp with fairview fee schedule · both	$89	$89	—	—	—	$89 – $89
9	Blue Cross Blue Shield commercial fee schedule · both	$90	$90	—	—	—	$90 – $90
10	Blue Cross Blue Shield commercial fee schedule · outpatient	$90	$90	—	—	—	$90 – $90
11	Blue Cross Blue Shield medicaid fee schedule · outpatient	$90	$90	—	—	—	$90 – $90
12	Medica accessability fee schedule · both	$92	$92	—	—	—	$92 – $92
13	Medica ma non-snp fee schedule · both	$92	$92	—	—	—	$92 – $92
14	Medica ma snp fee schedule · both	$92	$92	—	—	—	$92 – $92
15	Medica medicaid fee schedule · both	$92	$92	—	—	—	$92 – $92
16	Medica prime solution fee schedule · both	$92	$92	—	—	—	$92 – $92
17	Medica vantage fee schedule · both	$92	$92	—	—	—	$92 – $92
18	Ucare ifp fee schedule · both	$94	$94	—	—	—	$94 – $94
19	Medicaid medicaid fee schedule · both	$98	$98	—	—	—	$98 – $98
20	Blue Cross Blue Shield medicaid fee schedule · both	$100	$100	—	—	—	$100 – $100
21	Cigna commercial fee schedule · both	$111	$111	$10	9%	—	$101 – $120
22	UnitedHealthcare commercial fee schedule · both	$157	$157	—	—	—	$157 – $157
23	Medica bold fee schedule · both	$163	$163	—	—	—	$163 – $163
24	Medica choice without / elect fee schedule · both	$182	$182	—	—	—	$182 – $182
25	Medica city of st paul / essential uplan fee schedule · both	$182	$182	—	—	—	$182 – $182

Page 1 of 2 · 26 rates

Last updated: May 18, 2026

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