Fulvestrant injection, 25 mg (Fresenius Kabi brand) 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

FULVESTRANT 250 MG/5ML IM SOSY

Maple Grove, MN

See all hospitals reporting HCPCS J9394 →

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $45 is 63% above the median hospital's median price ($28), higher than 72% of the 1,303 hospitals reporting HCPCS J9394. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J9394 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	Ucare mhcp fee schedule · both	$3	$3	—	—	—	$3 – $3
2	Medicaid medicaid fee schedule · both	$4	$4	—	—	—	$4 – $4
3	Cigna commercial fee schedule · both	$6	$6	$1	9%	—	$6 – $7
4	Blue Cross Blue Shield federal fee schedule · outpatient	$8	$8	—	—	—	$8 – $8
5	Blue Cross Blue Shield commercial fee schedule · outpatient	$8	$8	—	—	—	$8 – $8
6	Blue Cross Blue Shield medicaid fee schedule · outpatient	$8	$8	—	—	—	$8 – $8
7	Medica ma non-snp fee schedule · both	$13	$13	—	—	—	$13 – $13
8	Medica ma snp fee schedule · both	$13	$13	—	—	—	$13 – $13
9	Medica prime solution fee schedule · both	$13	$13	—	—	—	$13 – $13
10	Medica vantage fee schedule · both	$13	$13	—	—	—	$13 – $13
11	UnitedHealthcare medicare advantage fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
12	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$27	$27	—	—	—	$27 – $27
13	Ucare ifp with fairview fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
14	Medica accessability fee schedule · both	$53	$53	—	—	—	$53 – $53
15	Medica medicaid fee schedule · both	$53	$53	—	—	—	$53 – $53
16	Blue Cross Blue Shield federal fee schedule · both	$56	$56	—	—	—	$56 – $56
17	Blue Cross Blue Shield commercial fee schedule · both	$57	$57	—	—	—	$57 – $57
18	Blue Cross Blue Shield medicaid fee schedule · both	$58	$58	—	—	—	$58 – $58
19	Ucare ifp fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
20	UnitedHealthcare commercial fee schedule · both	$96	$96	—	—	—	$96 – $96
21	Cigna commercial fee schedule · outpatient	$97	$97	$8	9%	—	$88 – $105
22	Medica bold fee schedule · both	$100	$100	—	—	—	$100 – $100
23	Medica choice without / elect fee schedule · both	$111	$111	—	—	—	$111 – $111
24	Medica city of st paul / essential uplan fee schedule · both	$111	$111	—	—	—	$111 – $111
25	Medica choice with fee schedule · both	$115	$115	—	—	—	$115 – $115

Page 1 of 2 · 27 rates

Last updated: May 18, 2026

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