Irinotecan liposome injection, per milligram 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

IRINOTECAN HCL LIPOSOME 43 MG/10ML IV INJ

Maple Grove, MN

See all hospitals reporting HCPCS J9205 →

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $81 is 18% below the median hospital's median price ($99), higher than 38% of the 1,597 hospitals reporting HCPCS J9205. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J9205 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	Ucare mhcp fee schedule · both	$37	$37	—	—	—	$37 – $37
2	Medica accessability fee schedule · both	$38	$38	—	—	—	$38 – $38
3	Medica medicaid fee schedule · both	$38	$38	—	—	—	$38 – $38
4	Medicaid medicaid fee schedule · both	$41	$41	—	—	—	$41 – $41
5	Blue Cross Blue Shield medicaid fee schedule · both	$42	$42	—	—	—	$42 – $42
6	Blue Cross Blue Shield federal fee schedule · outpatient	$63	$63	—	—	—	$63 – $63
7	Blue Cross Blue Shield commercial fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
8	Blue Cross Blue Shield medicaid fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
9	UnitedHealthcare medicare advantage fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
10	Blue Cross Blue Shield federal fee schedule · both	$65	$65	—	—	—	$65 – $65
11	Blue Cross Blue Shield commercial fee schedule · both	$66	$66	—	—	—	$66 – $66
12	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$68	$68	—	—	—	$68 – $68
13	Medica ma non-snp fee schedule · both	$68	$68	—	—	—	$68 – $68
14	Medica ma snp fee schedule · both	$68	$68	—	—	—	$68 – $68
15	Medica prime solution fee schedule · both	$68	$68	—	—	—	$68 – $68
16	Medica vantage fee schedule · both	$68	$68	—	—	—	$68 – $68
17	Cigna commercial fee schedule · both	$76	$76	$7	9%	—	$69 – $82
18	Cigna commercial fee schedule · outpatient	$93	$93	$8	9%	—	$85 – $101
19	Ucare ifp with fairview fee schedule · outpatient	$112	$112	—	—	—	$112 – $112
20	Medica bold fee schedule · both	$117	$117	—	—	—	$117 – $117
21	UnitedHealthcare commercial fee schedule · both	$117	$117	—	—	—	$117 – $117
22	Medica choice without / elect fee schedule · both	$130	$130	—	—	—	$130 – $130
23	Medica city of st paul / essential uplan fee schedule · both	$130	$130	—	—	—	$130 – $130
24	Medica choice with fee schedule · both	$134	$134	—	—	—	$134 – $134
25	Ucare ifp fee schedule · outpatient	$149	$149	—	—	—	$149 – $149

Page 1 of 2 · 27 rates

Last updated: May 18, 2026

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