Injection of polatuzumab vedotin, 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

POLATUZUMAB VEDOTIN-PIIQ 30 MG IV SOLR

Maple Grove, MN

See all hospitals reporting HCPCS J9309 →

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $217 is 4% below the median hospital's median price ($225), higher than 49% of the 1,685 hospitals reporting HCPCS J9309. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J9309 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	$124	$124	—	—	—	$124 – $124
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
4	Medica accessability fee schedule · both	$130	$130	—	—	—	$130 – $130
5	Medica medicaid fee schedule · both	$130	$130	—	—	—	$130 – $130
6	Blue Cross Blue Shield federal fee schedule · both	$131	$131	—	—	—	$131 – $131
7	Ucare mhcp fee schedule · both	$131	$131	—	—	—	$131 – $131
8	Blue Cross Blue Shield commercial fee schedule · both	$133	$133	—	—	—	$133 – $133
9	UnitedHealthcare medicare advantage fee schedule · outpatient	$134	$134	—	—	—	$134 – $134
10	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
11	Medica ma non-snp fee schedule · both	$141	$141	—	—	—	$141 – $141
12	Medica ma snp fee schedule · both	$141	$141	—	—	—	$141 – $141
13	Medica prime solution fee schedule · both	$141	$141	—	—	—	$141 – $141
14	Medica vantage fee schedule · both	$141	$141	—	—	—	$141 – $141
15	Blue Cross Blue Shield medicaid fee schedule · both	$141	$141	—	—	—	$141 – $141
16	Medicaid medicaid fee schedule · both	$146	$146	—	—	—	$146 – $146
17	Cigna commercial fee schedule · both	$148	$148	$13	9%	—	$135 – $161
18	Ucare ifp with fairview fee schedule · outpatient	$232	$232	—	—	—	$232 – $232
19	Medica bold fee schedule · both	$234	$234	—	—	—	$234 – $234
20	UnitedHealthcare commercial fee schedule · both	$235	$235	—	—	—	$235 – $235
21	Cigna commercial fee schedule · outpatient	$237	$237	$21	9%	—	$217 – $258
22	Medica choice without / elect fee schedule · both	$260	$260	—	—	—	$260 – $260
23	Medica city of st paul / essential uplan fee schedule · both	$260	$260	—	—	—	$260 – $260
24	Medica choice with fee schedule · both	$269	$269	—	—	—	$269 – $269
25	Ucare ifp fee schedule · outpatient	$309	$309	—	—	—	$309 – $309

Page 1 of 2 · 27 rates

Last updated: May 18, 2026

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See Injection of polatuzumab vedotin, per milligram pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.