Rylaze asparaginase injection, per 0.1 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-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

ASPARAGINASE ERWINIA CHRY-RYWN 10 MG/0.5ML IM SOLN

Maple Grove, MN

See all hospitals reporting HCPCS J9021 →

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $59 is 19% below the median hospital's median price ($73), higher than 36% of the 1,336 hospitals reporting HCPCS J9021. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J9021 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	Blue Cross Blue Shield federal fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$51	$51	—	—	—	$51 – $51
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$51	$51	—	—	—	$51 – $51
4	Medica accessability fee schedule · both	$53	$53	—	—	—	$53 – $53
5	Medica medicaid fee schedule · both	$53	$53	—	—	—	$53 – $53
6	Ucare mhcp fee schedule · both	$53	$53	—	—	—	$53 – $53
7	Blue Cross Blue Shield federal fee schedule · both	$54	$54	—	—	—	$54 – $54
8	Blue Cross Blue Shield commercial fee schedule · both	$54	$54	—	—	—	$54 – $54
9	UnitedHealthcare medicare advantage fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
10	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
11	Medica ma non-snp fee schedule · both	$57	$57	—	—	—	$57 – $57
12	Medica ma snp fee schedule · both	$57	$57	—	—	—	$57 – $57
13	Medica prime solution fee schedule · both	$57	$57	—	—	—	$57 – $57
14	Medica vantage fee schedule · both	$57	$57	—	—	—	$57 – $57
15	Blue Cross Blue Shield medicaid fee schedule · both	$57	$57	—	—	—	$57 – $57
16	Medicaid medicaid fee schedule · both	$59	$59	—	—	—	$59 – $59
17	Cigna commercial fee schedule · both	$61	$61	$5	9%	—	$56 – $66
18	Ucare ifp with fairview fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
19	UnitedHealthcare commercial fee schedule · both	$96	$96	—	—	—	$96 – $96
20	Medica bold fee schedule · both	$96	$96	—	—	—	$96 – $96
21	Cigna commercial fee schedule · outpatient	$97	$97	$8	9%	—	$88 – $105
22	Medica choice without / elect fee schedule · both	$107	$107	—	—	—	$107 – $107
23	Medica city of st paul / essential uplan fee schedule · both	$107	$107	—	—	—	$107 – $107
24	Medica choice with fee schedule · both	$110	$110	—	—	—	$110 – $110
25	Ucare ifp fee schedule · outpatient	$125	$125	—	—	—	$125 – $125

Page 1 of 2 · 27 rates

Last updated: May 18, 2026

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