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
TCAT INSJ PERM 2CHMBR LDLS PM R ATR PM COMPNT
Maple Grove, MN
See all hospitals reporting CPT 0796T →Price type
Fairview Maple Grove Surgery Center’s median price of $4.6k is 77% below the median hospital's median price ($19.7k), higher than 5% of the 1,346 hospitals reporting CPT 0796T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 11 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 | Medica accessability fee schedule · outpatient | $1,495 | $1,495 | $1,495 – $1,495 |
| 2 | Medica medicaid fee schedule · outpatient | $1,750 | $1,750 | $1,750 – $1,750 |
| 3 | Medica ma snp fee schedule · outpatient | $2,334 | $2,334 | $2,334 – $2,334 |
| 4 | Medica bold fee schedule · outpatient | $4,045 | $4,045 | $4,045 – $4,045 |
| 5 | Medica city of st paul / essential uplan fee schedule · outpatient | $4,187 | $4,187 | $4,187 – $4,187 |
| 6 | Medica vantage fee schedule · outpatient | $4,383 | $4,383 | $4,383 – $4,383 |
| 7 | Medica choice without / elect fee schedule · outpatient | $4,495 | $4,495 | $4,495 – $4,495 |
| 8 | Medica prime solution fee schedule · outpatient | $4,570 | $4,570 | $4,570 – $4,570 |
| 9 | Medica choice with fee schedule · outpatient | $4,652 | $4,652 | $4,652 – $4,652 |
| 10 | UnitedHealthcare commercial fee schedule · outpatient | $7,434 | $7,434 | $7,434 – $7,434 |
| 11 | Cigna commercial fee schedule · outpatient | $21,173 | $21,173 | $19,331 – $23,014 |
Last updated: May 18, 2026
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