Diagnostic nasal endoscopy of the upper digestive tract at Fairview Maple Grove Surgery Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Egd flx transnasal dx br/wa

Maple Grove, MN

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Pricing by billing methodology

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $889 is 60% below the median hospital's median price ($2.2k), higher than 4% of the 1,262 hospitals reporting CPT 0652T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 0652T at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 5 payers, 30 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	$169	$169	—	—	—	$169 – $169
2	Blue Cross Blue Shield federal fee schedule · both	$233	$233	—	—	—	$233 – $233
3	Blue Cross Blue Shield commercial fee schedule · both	$237	$237	—	—	—	$237 – $237
4	Blue Cross Blue Shield federal fee schedule · outpatient	$280	$280	—	—	—	$280 – $280
5	Blue Cross Blue Shield commercial fee schedule · outpatient	$285	$285	—	—	—	$285 – $285
6	Medica ma non-snp fee schedule · both	$295	$295	—	—	—	$295 – $295
7	Medica ma snp fee schedule · both	$295	$295	—	—	—	$295 – $295
8	Medica prime solution fee schedule · both	$295	$295	—	—	—	$295 – $295
9	Medica vantage fee schedule · both	$295	$295	—	—	—	$295 – $295
10	Medica bold fee schedule · both	$532	$532	—	—	—	$532 – $532
11	Medica choice without / elect fee schedule · both	$591	$591	—	—	—	$591 – $591
12	Medica city of st paul / essential uplan fee schedule · both	$591	$591	—	—	—	$591 – $591
13	Medica choice with fee schedule · both	$612	$612	—	—	—	$612 – $612
14	Medica accessability fee schedule · outpatient	$667	$667	—	—	—	$667 – $667
15	Medica medicaid fee schedule · outpatient	$781	$781	—	—	—	$781 – $781
16	Medica ma non-snp fee schedule · outpatient	$874	$874	—	—	—	$874 – $874
17	UnitedHealthcare medicare advantage fee schedule · outpatient	$874	$874	—	—	—	$874 – $874
18	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$909	$909	—	—	—	$909 – $909
19	UnitedHealthcare commercial fee schedule · both	$979	$979	—	—	—	$979 – $979
20	Medica ma snp fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
21	Ucare ifp with fairview fee schedule · outpatient	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
22	Medica bold fee schedule · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
23	UnitedHealthcare commercial fee schedule · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
24	Medica city of st paul / essential uplan fee schedule · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
25	Medica vantage fee schedule · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k

Page 1 of 2 · 30 rates

Last updated: May 18, 2026

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