Sincalide injection, 5 mcg 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

SINCALIDE 5 MCG IJ SOLR (RADIOLOGY SUPPLIED)

Maple Grove, MN

See all hospitals reporting HCPCS J2805 →

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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 $109 is 52% below the median hospital's median price ($228), higher than 6% of the 2,064 hospitals reporting HCPCS J2805. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J2805 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 ifp percent of total billed charges · outpatientfrom % of charges	$46	$46	$6	12%	—	$36 – $62
2	Ucare ifp with fairview percent of total billed charges · outpatientfrom % of charges	$46	$46	$6	12%	—	$36 – $62
3	First Health commercial percent of total billed charges · outpatientfrom % of charges	$75	$76	$9	12%	—	$60 – $102
4	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$78	$78	$10	12%	—	$62 – $106
5	Medica ma non-snp fee schedule · both	$121	$121	—	—	—	$121 – $121
6	Medica ma snp fee schedule · both	$121	$121	—	—	—	$121 – $121
7	Medica prime solution fee schedule · both	$121	$121	—	—	—	$121 – $121
8	Medica vantage fee schedule · both	$121	$121	—	—	—	$121 – $121
9	Blue Cross Blue Shield federal fee schedule · outpatient	$123	$123	—	—	—	$123 – $123
10	Medica accessability fee schedule · both	$124	$124	—	—	—	$124 – $124
11	Medica medicaid fee schedule · both	$124	$124	—	—	—	$124 – $124
12	Blue Cross Blue Shield commercial fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
13	Blue Cross Blue Shield medicaid fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
14	Ucare mhcp fee schedule · both	$130	$130	—	—	—	$130 – $130
15	Blue Cross Blue Shield federal fee schedule · both	$133	$133	—	—	—	$133 – $133
16	Blue Cross Blue Shield medicaid fee schedule · both	$135	$135	—	—	—	$135 – $135
17	Blue Cross Blue Shield commercial fee schedule · both	$136	$136	—	—	—	$136 – $136
18	Medicaid medicaid fee schedule · both	$145	$145	—	—	—	$145 – $145
19	Cigna commercial fee schedule · both	$155	$155	$13	9%	—	$141 – $168
20	UnitedHealthcare commercial fee schedule · both	$224	$224	—	—	—	$224 – $224
21	Medica bold fee schedule · both	$251	$251	—	—	—	$251 – $251
22	Medica choice without / elect fee schedule · both	$279	$279	—	—	—	$279 – $279
23	Medica city of st paul / essential uplan fee schedule · both	$279	$279	—	—	—	$279 – $279
24	Medica choice with fee schedule · both	$289	$289	—	—	—	$289 – $289

Last updated: May 18, 2026

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