Tisotumab vedotin injection, per 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

TISOTUMAB VEDOTIN-TFTV 40 MG IV SOLR

Maple Grove, MN

See all hospitals reporting HCPCS J9273 →

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $284 is 1% below the median hospital's median price ($288), higher than 50% of the 1,504 hospitals reporting HCPCS J9273. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J9273 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	$156	$156	—	—	—	$156 – $156
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$159	$159	—	—	—	$159 – $159
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$159	$159	—	—	—	$159 – $159
4	Blue Cross Blue Shield federal fee schedule · both	$177	$177	—	—	—	$177 – $177
5	Blue Cross Blue Shield commercial fee schedule · both	$180	$180	—	—	—	$180 – $180
6	Ucare mhcp fee schedule · both	$181	$181	—	—	—	$181 – $181
7	Medica accessability fee schedule · both	$182	$182	—	—	—	$182 – $182
8	Medica medicaid fee schedule · both	$182	$182	—	—	—	$182 – $182
9	UnitedHealthcare medicare advantage fee schedule · outpatient	$186	$186	—	—	—	$186 – $186
10	Medica ma non-snp fee schedule · both	$193	$193	—	—	—	$193 – $193
11	Medica ma snp fee schedule · both	$193	$193	—	—	—	$193 – $193
12	Medica prime solution fee schedule · both	$193	$193	—	—	—	$193 – $193
13	Medica vantage fee schedule · both	$193	$193	—	—	—	$193 – $193
14	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$193	$193	—	—	—	$193 – $193
15	Blue Cross Blue Shield medicaid fee schedule · both	$198	$198	—	—	—	$198 – $198
16	Medicaid medicaid fee schedule · both	$202	$202	—	—	—	$202 – $202
17	Cigna commercial fee schedule · both	$209	$209	$18	9%	—	$190 – $227
18	Medica bold fee schedule · both	$317	$317	—	—	—	$317 – $317
19	Ucare ifp with fairview fee schedule · outpatient	$320	$320	—	—	—	$320 – $320
20	UnitedHealthcare commercial fee schedule · both	$329	$329	—	—	—	$329 – $329
21	Cigna commercial fee schedule · outpatient	$332	$332	$29	9%	—	$303 – $361
22	Medica choice without / elect fee schedule · both	$353	$353	—	—	—	$353 – $353
23	Medica city of st paul / essential uplan fee schedule · both	$353	$353	—	—	—	$353 – $353
24	Medica choice with fee schedule · both	$365	$365	—	—	—	$365 – $365
25	Ucare ifp fee schedule · outpatient	$427	$427	—	—	—	$427 – $427

Page 1 of 2 · 27 rates

Last updated: May 18, 2026

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