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
One-way allow prorated trip
Edina, MN
See all hospitals reporting HCPCS P9604 →Price type
Fairview Health Services’s median price of $21 is 83% above the median hospital's median price ($12), higher than 70% of the 671 hospitals reporting HCPCS P9604. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 18 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 individual and family with m health fairview fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Medica medicare advantage non-snp fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 3 | Medica msho/medicare advantage snp fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 4 | Ucare individual and family fee schedule · both | $12 | $12 | — | — | — | $12 – $12 |
| 5 | Medica managed medicaid/accessability fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 6 | Medica msho/medicare advantage snp fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 7 | Medica bold fee schedule · both | $20 | $20 | — | — | — | $20 – $20 |
| 8 | Medica vantage self insured fee schedule · both | $21 | $21 | — | — | — | $21 – $21 |
| 9 | Medica city of st. paul/essential-uplan fee schedule · both | $22 | $22 | — | — | — | $22 – $22 |
| 10 | Medica individual and family business except aco fee schedule · both | $22 | $22 | — | — | — | $22 – $22 |
| 11 | Medica choice fee schedule · both | $23 | $23 | — | — | — | $23 – $23 |
| 12 | Medica bold fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 13 | Medica city of st. paul/essential-uplan fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 14 | UnitedHealthcare commercial fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 15 | UnitedHealthcare core fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 16 | Medica vantage self insured fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 17 | Medica individual and family business except aco fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 18 | Medica choice fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
Last updated: Feb 6, 2026
See One-way prorated ambulance trip pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.