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 OVAR 5 PRTN SER ALG SCOR
Maple Grove, MN
See all hospitals reporting CPT 0003U →Price type
Fairview Maple Grove Surgery Center’s median price of $1.2k is 25% above the median hospital's median price ($979), higher than 77% of the 1,251 hospitals reporting CPT 0003U. 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 | $690.51 | $690.51 | $690.51 – $690.51 |
| 2 | Blue Cross Blue Shield federal fee schedule · both | $950.00 | $950.00 | $950.00 – $950.00 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $967.10 | $967.10 | $967.10 – $967.10 |
| 4 | Medica ma non-snp fee schedule · both | $1,007 | $1,015 | $1,007 – $1,032 |
| 5 | Medica ma snp fee schedule · both | $1,007 | $1,015 | $1,007 – $1,032 |
| 6 | Medica prime solution fee schedule · both | $1,007 | $1,015 | $1,007 – $1,032 |
| 7 | Medica vantage fee schedule · both | $1,007 | $1,015 | $1,007 – $1,032 |
| 8 | Blue Cross Blue Shield federal fee schedule · outpatient | $1,140 | $1,140 | $1,140 – $1,140 |
| 9 | Blue Cross Blue Shield commercial fee schedule · outpatient | $1,160 | $1,160 | $1,160 – $1,160 |
| 10 | Cigna commercial fee schedule · both | $1,403 | $1,403 | $1,281 – $1,525 |
| 11 | Ucare ifp with fairview fee schedule · outpatient | $1,638 | $1,638 | $1,638 – $1,638 |
| 12 | Medica bold fee schedule · both | $1,791 | $1,806 | $1,791 – $1,836 |
| 13 | Medica choice without / elect fee schedule · both | $1,990 | $2,007 | $1,990 – $2,040 |
| 14 | Medica city of st paul / essential uplan fee schedule · both | $1,990 | $2,007 | $1,990 – $2,040 |
| 15 | Medica choice with fee schedule · both | $2,060 | $2,077 | $2,060 – $2,111 |
| 16 | Ucare ifp fee schedule · outpatient | $2,183 | $2,183 | $2,183 – $2,183 |
| 17 | UnitedHealthcare commercial fee schedule · both | $2,505 | $2,505 | $2,505 – $2,505 |
| 18 | Cigna commercial fee schedule · outpatient | $2,675 | $2,675 | $2,442 – $2,907 |
Last updated: May 18, 2026
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