Vitamin B6 (pyridoxine) injection, 100 mg 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PYRIDOXINE HCL 100 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 $17 is 42% below the median hospital's median price ($29), higher than 24% of the 1,889 hospitals reporting HCPCS J3415. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J3415 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	$12	$12	—	—	—	$12 – $12
2	Blue Cross Blue Shield federal fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
3	Blue Cross Blue Shield commercial fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
4	Blue Cross Blue Shield medicaid fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
5	Medicaid medicaid fee schedule · both	$14	$14	—	—	—	$14 – $14
6	Blue Cross Blue Shield federal fee schedule · both	$15	$15	—	—	—	$15 – $15
7	Blue Cross Blue Shield commercial fee schedule · both	$15	$15	—	—	—	$15 – $15
8	Medica ma non-snp fee schedule · both	$17	$17	—	—	—	$17 – $17
9	Medica ma snp fee schedule · both	$17	$17	—	—	—	$17 – $17
10	Medica prime solution fee schedule · both	$17	$17	—	—	—	$17 – $17
11	Medica vantage fee schedule · both	$17	$17	—	—	—	$17 – $17
12	Medica accessability fee schedule · both	$18	$18	—	—	—	$18 – $18
13	Medica medicaid fee schedule · both	$18	$18	—	—	—	$18 – $18
14	Cigna commercial fee schedule · both	$18	$18	$2	9%	—	$16 – $19
15	Blue Cross Blue Shield medicaid fee schedule · both	$19	$19	—	—	—	$19 – $19
16	Medica bold fee schedule · both	$28	$28	—	—	—	$28 – $28
17	Medica choice without / elect fee schedule · both	$31	$31	—	—	—	$31 – $31
18	Medica city of st paul / essential uplan fee schedule · both	$31	$31	—	—	—	$31 – $31
19	UnitedHealthcare commercial fee schedule · both	$32	$32	—	—	—	$32 – $32
20	Medica choice with fee schedule · both	$32	$32	—	—	—	$32 – $32
21	Ucare ifp percent of total billed charges · outpatientfrom % of charges	$41	$41	$2	5%	—	$39 – $43
22	Ucare ifp with fairview percent of total billed charges · outpatientfrom % of charges	$41	$41	$2	5%	—	$39 – $43
23	First Health commercial percent of total billed charges · outpatientfrom % of charges	$67	$67	$3	5%	—	$64 – $71
24	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$70	$70	$3	5%	—	$67 – $73

Last updated: May 18, 2026

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