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
NFCT DS BACT&FNG GRAM NEG
Maple Grove, MN
See all hospitals reporting CPT 0142U →Price type
Fairview Maple Grove Surgery Center’s median price of $201 is 25% above the median hospital's median price ($161), higher than 77% of the 1,321 hospitals reporting CPT 0142U. 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 | $113.93 | $113.93 | $113.93 – $113.93 |
| 2 | Blue Cross Blue Shield federal fee schedule · both | $156.75 | $156.75 | $156.75 – $156.75 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $159.57 | $159.57 | $159.57 – $159.57 |
| 4 | Medica ma non-snp fee schedule · both | $166.16 | $167.59 | $166.16 – $170.45 |
| 5 | Medica ma snp fee schedule · both | $166.16 | $167.59 | $166.16 – $170.45 |
| 6 | Medica prime solution fee schedule · both | $166.16 | $167.59 | $166.16 – $170.45 |
| 7 | Medica vantage fee schedule · both | $166.16 | $167.59 | $166.16 – $170.45 |
| 8 | Blue Cross Blue Shield federal fee schedule · outpatient | $188.04 | $188.04 | $188.04 – $188.04 |
| 9 | Blue Cross Blue Shield commercial fee schedule · outpatient | $191.42 | $191.42 | $191.42 – $191.42 |
| 10 | Cigna commercial fee schedule · both | $231.60 | $231.60 | $211.46 – $251.74 |
| 11 | Ucare ifp with fairview fee schedule · outpatient | $270.24 | $270.24 | $270.24 – $270.24 |
| 12 | Medica bold fee schedule · both | $295.55 | $298.08 | $295.55 – $303.13 |
| 13 | Medica choice without / elect fee schedule · both | $328.39 | $331.20 | $328.39 – $336.81 |
| 14 | Medica city of st paul / essential uplan fee schedule · both | $328.39 | $331.20 | $328.39 – $336.81 |
| 15 | Medica choice with fee schedule · both | $339.83 | $342.74 | $339.83 – $348.55 |
| 16 | Ucare ifp fee schedule · outpatient | $360.21 | $360.21 | $360.21 – $360.21 |
| 17 | UnitedHealthcare commercial fee schedule · both | $413.32 | $413.32 | $413.32 – $413.32 |
| 18 | Cigna commercial fee schedule · outpatient | $441.60 | $441.60 | $403.20 – $480.00 |
Last updated: May 18, 2026
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