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.
Original text from hospital filings
Inj sirolimus prot part 1 mg
Maple Grove, MN
See all hospitals reporting HCPCS J9331 →Price type
Fairview Maple Grove Surgery Center’s median price of $118 is 4% below the median hospital's median price ($123), higher than 46% of the 1,259 hospitals reporting HCPCS J9331. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 25 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 | $81 | $81 | — | — | — | $81 – $81 |
| 2 | UnitedHealthcare medicare advantage fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 3 | Blue Cross Blue Shield medicare advantage fee schedule · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 4 | Medicaid medicaid fee schedule · both | $90 | $90 | — | — | — | $90 – $90 |
| 5 | Blue Cross Blue Shield federal fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 6 | Blue Cross Blue Shield commercial fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 7 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 8 | Medica accessability fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 9 | Medica medicaid fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 10 | Blue Cross Blue Shield federal fee schedule · both | $115 | $115 | — | — | — | $115 – $115 |
| 11 | Blue Cross Blue Shield commercial fee schedule · both | $117 | $117 | — | — | — | $117 – $117 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $124 | $124 | — | — | — | $124 – $124 |
| 13 | Medica ma non-snp fee schedule · both | $125 | $125 | — | — | — | $125 – $125 |
| 14 | Medica ma snp fee schedule · both | $125 | $125 | — | — | — | $125 – $125 |
| 15 | Medica prime solution fee schedule · both | $125 | $125 | — | — | — | $125 – $125 |
| 16 | Medica vantage fee schedule · both | $125 | $125 | — | — | — | $125 – $125 |
| 17 | Cigna commercial fee schedule · both | $130 | $130 | $11 | 9% | — | $119 – $142 |
| 18 | Ucare ifp with fairview fee schedule · outpatient | $143 | $143 | — | — | — | $143 – $143 |
| 19 | Ucare ifp fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
| 20 | Medica bold fee schedule · both | $206 | $206 | — | — | — | $206 – $206 |
| 21 | UnitedHealthcare commercial fee schedule · both | $207 | $207 | — | — | — | $207 – $207 |
| 22 | Cigna commercial fee schedule · outpatient | $209 | $209 | $18 | 9% | — | $191 – $227 |
| 23 | Medica choice without / elect fee schedule · both | $229 | $229 | — | — | — | $229 – $229 |
| 24 | Medica city of st paul / essential uplan fee schedule · both | $229 | $229 | — | — | — | $229 – $229 |
| 25 | Medica choice with fee schedule · both | $237 | $237 | — | — | — | $237 – $237 |
Last updated: May 18, 2026
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