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
XK GNOTYP XK EXONS 1-3
Maple Grove, MN
See all hospitals reporting CPT 0200U →Price type
Fairview Maple Grove Surgery Center’s median price of $353 is 25% above the median hospital's median price ($282), higher than 80% of the 1,266 hospitals reporting CPT 0200U. 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 | $200 | $200 | — | — | — | $200 – $200 |
| 2 | Blue Cross Blue Shield federal fee schedule · both | $275 | $275 | — | — | — | $275 – $275 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $280 | $280 | — | — | — | $280 – $280 |
| 4 | Medica ma non-snp fee schedule · both | $291 | $294 | $3 | 1% | — | $291 – $299 |
| 5 | Medica ma snp fee schedule · both | $291 | $294 | $3 | 1% | — | $291 – $299 |
| 6 | Medica prime solution fee schedule · both | $291 | $294 | $3 | 1% | — | $291 – $299 |
| 7 | Medica vantage fee schedule · both | $291 | $294 | $3 | 1% | — | $291 – $299 |
| 8 | Blue Cross Blue Shield federal fee schedule · outpatient | $330 | $330 | — | — | — | $330 – $330 |
| 9 | Blue Cross Blue Shield commercial fee schedule · outpatient | $336 | $336 | — | — | — | $336 – $336 |
| 10 | Cigna commercial fee schedule · both | $406 | $406 | $35 | 9% | — | $370 – $441 |
| 11 | Ucare ifp with fairview fee schedule · outpatient | $474 | $474 | — | — | — | $474 – $474 |
| 12 | Medica bold fee schedule · both | $518 | $522 | $6 | 1% | — | $518 – $531 |
| 13 | Medica choice without / elect fee schedule · both | $576 | $580 | $7 | 1% | — | $576 – $590 |
| 14 | Medica city of st paul / essential uplan fee schedule · both | $576 | $580 | $7 | 1% | — | $576 – $590 |
| 15 | Medica choice with fee schedule · both | $596 | $601 | $7 | 1% | — | $596 – $610 |
| 16 | Ucare ifp fee schedule · outpatient | $632 | $632 | — | — | — | $632 – $632 |
| 17 | UnitedHealthcare commercial fee schedule · both | $725 | $725 | — | — | — | $725 – $725 |
| 18 | Cigna commercial fee schedule · outpatient | $774 | $774 | $67 | 9% | — | $706 – $841 |
Last updated: May 18, 2026
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