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
ONC CLRCT 3 UR METAB ALG PLP
Maple Grove, MN
See all hospitals reporting CPT 0002U →Price type
Fairview Maple Grove Surgery Center’s median price of $32 is 23% above the median hospital's median price ($26), higher than 77% of the 1,250 hospitals reporting CPT 0002U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 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 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $18.17 | $18.17 | $18.17 – $18.17 |
| 2 | Blue Cross Blue Shield federal fee schedule · both | $25.00 | $25.00 | $25.00 – $25.00 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $25.45 | $25.45 | $25.45 – $25.45 |
| 4 | Medica ma non-snp fee schedule · both | $26.50 | $26.69 | $26.50 – $27.06 |
| 5 | Medica ma snp fee schedule · both | $26.50 | $26.69 | $26.50 – $27.06 |
| 6 | Medica prime solution fee schedule · both | $26.50 | $26.69 | $26.50 – $27.06 |
| 7 | Medica vantage fee schedule · both | $26.50 | $26.69 | $26.50 – $27.06 |
| 8 | Blue Cross Blue Shield federal fee schedule · outpatient | $29.99 | $29.99 | $29.99 – $29.99 |
| 9 | Blue Cross Blue Shield commercial fee schedule · outpatient | $30.53 | $30.53 | $30.53 – $30.53 |
| 10 | Cigna commercial fee schedule · both | $36.76 | $36.76 | $33.56 – $39.95 |
| 11 | Ucare ifp with fairview fee schedule · outpatient | $43.10 | $43.10 | $43.10 – $43.10 |
| 12 | Medica bold fee schedule · both | $47.14 | $47.46 | $47.14 – $48.10 |
| 13 | Medica choice without / elect fee schedule · both | $52.38 | $52.73 | $52.38 – $53.44 |
| 14 | Medica city of st paul / essential uplan fee schedule · both | $52.38 | $52.73 | $52.38 – $53.44 |
| 15 | Medica choice with fee schedule · both | $54.20 | $54.57 | $54.20 – $55.31 |
| 16 | Ucare ifp fee schedule · outpatient | $57.45 | $57.45 | $57.45 – $57.45 |
| 17 | UnitedHealthcare commercial fee schedule · both | $65.92 | $65.92 | $65.92 – $65.92 |
| 18 | Cigna commercial fee schedule · outpatient | $70.07 | $70.07 | $63.97 – $76.16 |
Last updated: May 18, 2026
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