Inhaled iloprost solution, 20 micrograms 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

Iloprost non-comp unit dose

Maple Grove, MN

See all hospitals reporting HCPCS Q4074 →

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Pricing by billing methodology

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $157 is 29% below the median hospital's median price ($223), higher than 17% of the 1,051 hospitals reporting HCPCS Q4074. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4074 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 5 payers, 20 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	Medica accessability fee schedule · both	$85	$85	—	—	—	$85 – $85
2	Medica medicaid fee schedule · both	$85	$85	—	—	—	$85 – $85
3	Ucare mhcp fee schedule · both	$92	$92	—	—	—	$92 – $92
4	Blue Cross Blue Shield federal fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
5	Blue Cross Blue Shield commercial fee schedule · outpatient	$142	$142	—	—	—	$142 – $142
6	Blue Cross Blue Shield medicaid fee schedule · outpatient	$142	$142	—	—	—	$142 – $142
7	Blue Cross Blue Shield federal fee schedule · both	$147	$147	—	—	—	$147 – $147
8	Blue Cross Blue Shield commercial fee schedule · both	$149	$149	—	—	—	$149 – $149
9	Medica ma non-snp fee schedule · both	$157	$157	—	—	—	$157 – $157
10	Medica ma snp fee schedule · both	$157	$157	—	—	—	$157 – $157
11	Medica prime solution fee schedule · both	$157	$157	—	—	—	$157 – $157
12	Medica vantage fee schedule · both	$157	$157	—	—	—	$157 – $157
13	Blue Cross Blue Shield medicaid fee schedule · both	$162	$162	—	—	—	$162 – $162
14	Cigna commercial fee schedule · both	$175	$175	$15	9%	—	$160 – $190
15	UnitedHealthcare commercial fee schedule · both	$269	$269	—	—	—	$269 – $269
16	Cigna commercial fee schedule · outpatient	$271	$271	$24	9%	—	$248 – $295
17	Medica bold fee schedule · both	$277	$277	—	—	—	$277 – $277
18	Medica choice without / elect fee schedule · both	$307	$307	—	—	—	$307 – $307
19	Medica city of st paul / essential uplan fee schedule · both	$307	$307	—	—	—	$307 – $307
20	Medica choice with fee schedule · both	$318	$318	—	—	—	$318 – $318

Last updated: May 18, 2026

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