Rho(D) immune globulin, intravenous, 100 IU 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

RHO D IMMUNE GLOBULIN 15000 UNIT/13ML IJ SOLN

Maple Grove, MN

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $35 is 21% below the median hospital's median price ($44), higher than 33% of the 1,443 hospitals reporting HCPCS J2792. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J2792 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	UnitedHealthcare medicare advantage fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
2	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
3	Ucare mhcp fee schedule · both	$30	$30	—	—	—	$30 – $30
4	Medicaid medicaid fee schedule · both	$33	$33	—	—	—	$33 – $33
5	Blue Cross Blue Shield federal fee schedule · outpatient	$33	$33	—	—	—	$33 – $33
6	Blue Cross Blue Shield federal fee schedule · both	$33	$33	—	—	—	$33 – $33
7	Blue Cross Blue Shield commercial fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
8	Blue Cross Blue Shield medicaid fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
9	Blue Cross Blue Shield commercial fee schedule · both	$34	$34	—	—	—	$34 – $34
10	Medica accessability fee schedule · both	$34	$34	—	—	—	$34 – $34
11	Medica medicaid fee schedule · both	$34	$34	—	—	—	$34 – $34
12	Medica ma non-snp fee schedule · both	$35	$35	—	—	—	$35 – $35
13	Medica ma snp fee schedule · both	$35	$35	—	—	—	$35 – $35
14	Medica prime solution fee schedule · both	$35	$35	—	—	—	$35 – $35
15	Medica vantage fee schedule · both	$35	$35	—	—	—	$35 – $35
16	Cigna commercial fee schedule · both	$37	$37	$3	9%	—	$33 – $40
17	Blue Cross Blue Shield medicaid fee schedule · both	$37	$37	—	—	—	$37 – $37
18	Ucare ifp with fairview fee schedule · outpatient	$43	$43	—	—	—	$43 – $43
19	Ucare ifp fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
20	Medica bold fee schedule · both	$62	$62	—	—	—	$62 – $62
21	UnitedHealthcare commercial fee schedule · both	$62	$62	—	—	—	$62 – $62
22	Cigna commercial fee schedule · outpatient	$63	$63	$5	9%	—	$57 – $68
23	Medica choice without / elect fee schedule · both	$69	$69	—	—	—	$69 – $69
24	Medica city of st paul / essential uplan fee schedule · both	$69	$69	—	—	—	$69 – $69
25	Medica choice with fee schedule · both	$71	$71	—	—	—	$71 – $71

Page 1 of 2 · 27 rates

Last updated: May 18, 2026

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