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
NJX PARAVERT W/US LUMB/SAC
Maple Grove, MN
See all hospitals reporting CPT 0216T →Price type
Fairview Maple Grove Surgery Center’s median price of $402 is 63% below the median hospital's median price ($1.1k), higher than 6% of the 1,354 hospitals reporting CPT 0216T. 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, 42 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 | $86.50 | $86.50 | $86.50 – $86.50 |
| 2 | Blue Cross Blue Shield federal fee schedule · both | $119.00 | $119.00 | $119.00 – $119.00 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $121.14 | $121.14 | $121.14 – $121.14 |
| 4 | Medicaid medicaid fee schedule · both | $126.00 | $126.00 | $126.00 – $126.00 |
| 5 | Ucare mhcp fee schedule · both | $128.40 | $128.40 | $128.40 – $128.40 |
| 6 | Medica accessability fee schedule · both | $132.62 | $132.62 | $132.62 – $132.62 |
| 7 | Medica medicaid fee schedule · both | $132.62 | $132.62 | $132.62 – $132.62 |
| 8 | Blue Cross Blue Shield federal fee schedule · outpatient | $142.75 | $142.75 | $142.75 – $142.75 |
| 9 | Blue Cross Blue Shield medicaid fee schedule · both | $144.46 | $144.46 | $144.46 – $144.46 |
| 10 | Blue Cross Blue Shield commercial fee schedule · outpatient | $145.32 | $145.32 | $145.32 – $145.32 |
| 11 | UnitedHealthcare medicare advantage fee schedule · both | $179.84 | $179.84 | $179.84 – $179.84 |
| 12 | Medica ma non-snp fee schedule · both | $183.56 | $183.56 | $183.56 – $183.56 |
| 13 | Medica ma snp fee schedule · both | $183.56 | $183.56 | $183.56 – $183.56 |
| 14 | Medica prime solution fee schedule · both | $183.56 | $183.56 | $183.56 – $183.56 |
| 15 | Medica vantage fee schedule · both | $183.56 | $183.56 | $183.56 – $183.56 |
| 16 | Blue Cross Blue Shield medicare advantage fee schedule · both | $187.03 | $187.03 | $187.03 – $187.03 |
| 17 | Cigna commercial fee schedule · both | $244.98 | $244.98 | $223.67 – $266.28 |
| 18 | Medica bold fee schedule · both | $330.53 | $330.53 | $330.53 – $330.53 |
| 19 | Medica choice without / elect fee schedule · both | $367.25 | $367.25 | $367.25 – $367.25 |
| 20 | Medica city of st paul / essential uplan fee schedule · both | $367.25 | $367.25 | $367.25 – $367.25 |
| 21 | Medica choice with fee schedule · both | $380.05 | $380.05 | $380.05 – $380.05 |
| 22 | Ucare ifp with fairview fee schedule · both | $474.60 | $474.60 | $474.60 – $474.60 |
| 23 | Medica ma non-snp fee schedule · outpatient | $483.53 | $483.53 | $483.53 – $483.53 |
| 24 | UnitedHealthcare medicare advantage fee schedule · outpatient | $483.53 | $483.53 | $483.53 – $483.53 |
| 25 | Medicaid medicaid fee schedule · outpatient | $487.06 | $487.06 | $487.06 – $487.06 |
Last updated: May 18, 2026
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