Iron-based MRI contrast injection, per mL 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
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inj Fe-based MR contrast,1ml

Maple Grove, MN

See all hospitals reporting HCPCS Q9953 →

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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 $66 is about the same as the median hospital's median price ($66), higher than 52% of the 649 hospitals reporting HCPCS Q9953. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9953 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 5 payers, 17 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 · both	$34	$34	—	—	—	$34 – $34
2	Blue Cross Blue Shield federal fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
3	Blue Cross Blue Shield commercial fee schedule · both	$35	$35	—	—	—	$35 – $35
4	Blue Cross Blue Shield commercial fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
5	Blue Cross Blue Shield medicaid fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
6	Ucare ifp with fairview fee schedule · both	$60	$60	—	—	—	$60 – $60
7	Ucare ifp fee schedule · both	$63	$63	—	—	—	$63 – $63
8	Medica ma non-snp fee schedule · both	$66	$66	—	—	—	$66 – $66
9	Medica ma snp fee schedule · both	$66	$66	—	—	—	$66 – $66
10	Medica prime solution fee schedule · both	$66	$66	—	—	—	$66 – $66
11	Medica vantage fee schedule · both	$66	$66	—	—	—	$66 – $66
12	Cigna commercial fee schedule · both	$76	$76	$7	9%	—	$69 – $82
13	UnitedHealthcare commercial fee schedule · both	$112	$112	—	—	—	$112 – $112
14	Medica bold fee schedule · both	$117	$117	—	—	—	$117 – $117
15	Medica choice without / elect fee schedule · both	$130	$130	—	—	—	$130 – $130
16	Medica city of st paul / essential uplan fee schedule · both	$130	$130	—	—	—	$130 – $130
17	Medica choice with fee schedule · both	$135	$135	—	—	—	$135 – $135

Last updated: May 18, 2026

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