Dostarlimab injection, per 10 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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DOSTARLIMAB-GXLY 500 MG/10ML IV SOLN

Maple Grove, MN

See all hospitals reporting HCPCS J9272 →

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $282 is 25% below the median hospital's median price ($378), higher than 36% of the 1,584 hospitals reporting HCPCS J9272. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J9272 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	$234	$234	—	—	—	$234 – $234
2	Blue Cross Blue Shield federal fee schedule · outpatient	$235	$235	—	—	—	$235 – $235
3	Medica accessability fee schedule · both	$236	$236	—	—	—	$236 – $236
4	Medica medicaid fee schedule · both	$236	$236	—	—	—	$236 – $236
5	Blue Cross Blue Shield commercial fee schedule · outpatient	$239	$239	—	—	—	$239 – $239
6	Blue Cross Blue Shield medicaid fee schedule · outpatient	$239	$239	—	—	—	$239 – $239
7	UnitedHealthcare medicare advantage fee schedule · outpatient	$240	$240	—	—	—	$240 – $240
8	Blue Cross Blue Shield federal fee schedule · both	$245	$245	—	—	—	$245 – $245
9	Blue Cross Blue Shield commercial fee schedule · both	$249	$249	—	—	—	$249 – $249
10	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$249	$249	—	—	—	$249 – $249
11	Medica ma non-snp fee schedule · both	$254	$254	—	—	—	$254 – $254
12	Medica ma snp fee schedule · both	$254	$254	—	—	—	$254 – $254
13	Medica prime solution fee schedule · both	$254	$254	—	—	—	$254 – $254
14	Medica vantage fee schedule · both	$254	$254	—	—	—	$254 – $254
15	Blue Cross Blue Shield medicaid fee schedule · both	$258	$258	—	—	—	$258 – $258
16	Medicaid medicaid fee schedule · both	$260	$260	—	—	—	$260 – $260
17	Cigna commercial fee schedule · both	$277	$277	$24	9%	—	$253 – $301
18	Cigna commercial fee schedule · outpatient	$335	$335	$29	9%	—	$305 – $364
19	Ucare ifp with fairview fee schedule · outpatient	$413	$413	—	—	—	$413 – $413
20	UnitedHealthcare commercial fee schedule · both	$429	$429	—	—	—	$429 – $429
21	Medica bold fee schedule · both	$440	$440	—	—	—	$440 – $440
22	Medica choice without / elect fee schedule · both	$489	$489	—	—	—	$489 – $489
23	Medica city of st paul / essential uplan fee schedule · both	$489	$489	—	—	—	$489 – $489
24	Medica choice with fee schedule · both	$506	$506	—	—	—	$506 – $506
25	Ucare ifp fee schedule · outpatient	$551	$551	—	—	—	$551 – $551

Page 1 of 2 · 27 rates

Last updated: May 18, 2026

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