Injection of tebentafusp (per microgram) 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

TEBENTAFUSP-TEBN 100 MCG/0.5ML IV SOLN

Maple Grove, MN

See all hospitals reporting HCPCS J9274 →

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $233 is 20% below the median hospital's median price ($290), higher than 33% of the 1,314 hospitals reporting HCPCS J9274. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J9274 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	$199	$199	—	—	—	$199 – $199
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$202	$202	—	—	—	$202 – $202
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$202	$202	—	—	—	$202 – $202
4	Ucare mhcp fee schedule · both	$208	$208	—	—	—	$208 – $208
5	UnitedHealthcare medicare advantage fee schedule · outpatient	$214	$214	—	—	—	$214 – $214
6	Medica accessability fee schedule · both	$215	$215	—	—	—	$215 – $215
7	Medica medicaid fee schedule · both	$215	$215	—	—	—	$215 – $215
8	Blue Cross Blue Shield federal fee schedule · both	$219	$219	—	—	—	$219 – $219
9	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$222	$222	—	—	—	$222 – $222
10	Blue Cross Blue Shield commercial fee schedule · both	$223	$223	—	—	—	$223 – $223
11	Medica ma non-snp fee schedule · both	$228	$228	—	—	—	$228 – $228
12	Medica ma snp fee schedule · both	$228	$228	—	—	—	$228 – $228
13	Medica prime solution fee schedule · both	$228	$228	—	—	—	$228 – $228
14	Medica vantage fee schedule · both	$228	$228	—	—	—	$228 – $228
15	Medicaid medicaid fee schedule · both	$232	$232	—	—	—	$232 – $232
16	Blue Cross Blue Shield medicaid fee schedule · both	$234	$234	—	—	—	$234 – $234
17	Cigna commercial fee schedule · both	$249	$249	$22	9%	—	$228 – $271
18	Ucare ifp with fairview fee schedule · outpatient	$368	$368	—	—	—	$368 – $368
19	UnitedHealthcare commercial fee schedule · both	$389	$389	—	—	—	$389 – $389
20	Cigna commercial fee schedule · outpatient	$393	$393	$34	9%	—	$359 – $427
21	Medica bold fee schedule · both	$394	$394	—	—	—	$394 – $394
22	Medica choice without / elect fee schedule · both	$438	$438	—	—	—	$438 – $438
23	Medica city of st paul / essential uplan fee schedule · both	$438	$438	—	—	—	$438 – $438
24	Medica choice with fee schedule · both	$453	$453	—	—	—	$453 – $453
25	Ucare ifp fee schedule · outpatient	$491	$491	—	—	—	$491 – $491

Page 1 of 2 · 27 rates

Last updated: May 18, 2026

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See Injection of tebentafusp (per microgram) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.