Loncastuximab tesirine injection 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

LONCASTUXIMAB TESIRINE-LPYL 10 MG IV SOLR

Maple Grove, MN

See all hospitals reporting HCPCS J9359 →

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $254 is 14% below the median hospital's median price ($296), higher than 40% of the 1,406 hospitals reporting HCPCS J9359. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J9359 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	$189	$189	—	—	—	$189 – $189
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$192	$192	—	—	—	$192 – $192
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$192	$192	—	—	—	$192 – $192
4	Medica accessability fee schedule · both	$206	$206	—	—	—	$206 – $206
5	Medica medicaid fee schedule · both	$206	$206	—	—	—	$206 – $206
6	Ucare mhcp fee schedule · both	$208	$208	—	—	—	$208 – $208
7	Blue Cross Blue Shield federal fee schedule · both	$211	$211	—	—	—	$211 – $211
8	UnitedHealthcare medicare advantage fee schedule · outpatient	$213	$213	—	—	—	$213 – $213
9	Blue Cross Blue Shield commercial fee schedule · both	$214	$214	—	—	—	$214 – $214
10	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$222	$222	—	—	—	$222 – $222
11	Blue Cross Blue Shield medicaid fee schedule · both	$225	$225	—	—	—	$225 – $225
12	Medica ma non-snp fee schedule · both	$225	$225	—	—	—	$225 – $225
13	Medica ma snp fee schedule · both	$225	$225	—	—	—	$225 – $225
14	Medica prime solution fee schedule · both	$225	$225	—	—	—	$225 – $225
15	Medica vantage fee schedule · both	$225	$225	—	—	—	$225 – $225
16	Medicaid medicaid fee schedule · both	$232	$232	—	—	—	$232 – $232
17	Cigna commercial fee schedule · both	$239	$239	$21	9%	—	$218 – $260
18	Ucare ifp with fairview fee schedule · outpatient	$368	$368	—	—	—	$368 – $368
19	UnitedHealthcare commercial fee schedule · both	$374	$374	—	—	—	$374 – $374
20	Cigna commercial fee schedule · outpatient	$377	$377	$33	9%	—	$345 – $410
21	Medica bold fee schedule · both	$378	$378	—	—	—	$378 – $378
22	Medica choice without / elect fee schedule · both	$420	$420	—	—	—	$420 – $420
23	Medica city of st paul / essential uplan fee schedule · both	$420	$420	—	—	—	$420 – $420
24	Medica choice with fee schedule · both	$435	$435	—	—	—	$435 – $435
25	Ucare ifp fee schedule · outpatient	$490	$490	—	—	—	$490 – $490

Page 1 of 2 · 27 rates

Last updated: May 18, 2026

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