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
S&I STENT/CHEST VERT ART
Maple Grove, MN
See all hospitals reporting CPT 0076T →Price type
Fairview Maple Grove Surgery Center’s median price of $571 is 90% below the median hospital's median price ($5.7k), higher than 8% of the 1,172 hospitals reporting CPT 0076T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 33 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 | $213 | $213 | — | — | — | $213 – $213 |
| 2 | Medicaid medicaid fee schedule · both | $260 | $260 | $158 | 61% | — | $101 – $418 |
| 3 | Ucare ifp with fairview fee schedule · both | $328 | $284 | $137 | 48% | — | $98 – $426 |
| 4 | Ucare mhcp fee schedule · both | $323 | $284 | $135 | 47% | — | $103 – $426 |
| 5 | Medica accessability fee schedule · both | $337 | $291 | $141 | 48% | — | $100 – $437 |
| 6 | Medica medicaid fee schedule · both | $337 | $291 | $141 | 48% | — | $100 – $437 |
| 7 | Blue Cross Blue Shield federal fee schedule · both | $293 | $293 | — | — | — | $293 – $293 |
| 8 | Blue Cross Blue Shield commercial fee schedule · both | $298 | $298 | — | — | — | $298 – $298 |
| 9 | Ucare ifp fee schedule · both | $345 | $299 | $145 | 48% | — | $103 – $448 |
| 10 | Blue Cross Blue Shield medicaid fee schedule · both | $367 | $317 | $154 | 48% | — | $109 – $476 |
| 11 | Blue Cross Blue Shield federal fee schedule · outpatient | $351 | $351 | — | — | — | $351 – $351 |
| 12 | Blue Cross Blue Shield commercial fee schedule · outpatient | $358 | $358 | — | — | — | $358 – $358 |
| 13 | Medica ma non-snp fee schedule · both | $461 | $406 | $192 | 47% | — | $148 – $608 |
| 14 | Medica ma snp fee schedule · both | $461 | $406 | $192 | 47% | — | $148 – $608 |
| 15 | Medica prime solution fee schedule · both | $461 | $406 | $192 | 47% | — | $148 – $608 |
| 16 | Medica vantage fee schedule · both | $461 | $406 | $192 | 47% | — | $148 – $608 |
| 17 | Medica accessability fee schedule · outpatient | $459 | $459 | — | — | — | $459 – $459 |
| 18 | Medica medicaid fee schedule · outpatient | $536 | $536 | — | — | — | $536 – $536 |
| 19 | Medica ma snp fee schedule · outpatient | $717 | $717 | — | — | — | $717 – $717 |
| 20 | Medica bold fee schedule · both | $839 | $726 | $352 | 48% | — | $250 – $1.1k |
| 21 | Medica choice without / elect fee schedule · both | $932 | $807 | $391 | 48% | — | $278 – $1.2k |
| 22 | Medica city of st paul / essential uplan fee schedule · both | $932 | $807 | $391 | 48% | — | $278 – $1.2k |
| 23 | Medica choice with fee schedule · both | $965 | $835 | $404 | 48% | — | $288 – $1.3k |
| 24 | Medica bold fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 25 | Medica city of st paul / essential uplan fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
Last updated: May 18, 2026
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