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
TRNSPLJ DON-DRV CLL-FR DNA
Maple Grove, MN
See all hospitals reporting CPT 0118U →Price type
Fairview Maple Grove Surgery Center’s median price of $3.5k is 23% above the median hospital's median price ($2.9k), higher than 76% of the 1,293 hospitals reporting CPT 0118U. 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 | $2,001 | $2,001 | $2,001 – $2,001 |
| 2 | Blue Cross Blue Shield federal fee schedule · both | $2,753 | $2,753 | $2,753 – $2,753 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $2,803 | $2,803 | $2,803 – $2,803 |
| 4 | Medica ma non-snp fee schedule · both | $2,918 | $2,943 | $2,918 – $2,992 |
| 5 | Medica ma snp fee schedule · both | $2,918 | $2,943 | $2,918 – $2,992 |
| 6 | Medica prime solution fee schedule · both | $2,918 | $2,943 | $2,918 – $2,992 |
| 7 | Medica vantage fee schedule · both | $2,918 | $2,943 | $2,918 – $2,992 |
| 8 | Blue Cross Blue Shield federal fee schedule · outpatient | $3,303 | $3,303 | $3,303 – $3,303 |
| 9 | Blue Cross Blue Shield commercial fee schedule · outpatient | $3,362 | $3,362 | $3,362 – $3,362 |
| 10 | Cigna commercial fee schedule · both | $4,065 | $4,065 | $3,712 – $4,419 |
| 11 | Ucare ifp with fairview fee schedule · outpatient | $4,747 | $4,747 | $4,747 – $4,747 |
| 12 | Medica bold fee schedule · both | $5,191 | $5,234 | $5,191 – $5,321 |
| 13 | Medica choice without / elect fee schedule · both | $5,768 | $5,816 | $5,768 – $5,912 |
| 14 | Medica city of st paul / essential uplan fee schedule · both | $5,768 | $5,816 | $5,768 – $5,912 |
| 15 | Medica choice with fee schedule · both | $5,969 | $6,019 | $5,969 – $6,118 |
| 16 | Ucare ifp fee schedule · outpatient | $6,327 | $6,327 | $6,327 – $6,327 |
| 17 | UnitedHealthcare commercial fee schedule · both | $7,260 | $7,260 | $7,260 – $7,260 |
| 18 | Cigna commercial fee schedule · outpatient | $7,752 | $7,752 | $7,078 – $8,426 |
Last updated: May 18, 2026
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