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
I&cust prep jaw xpnsj 1arch
Maple Grove, MN
See all hospitals reporting CPT 0964T →Price type
Fairview Maple Grove Surgery Center’s median price of $1.5k is 58% below the median hospital's median price ($3.6k), higher than 2% of the 796 hospitals reporting CPT 0964T. 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, 4 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 | UnitedHealthcare medicare advantage fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 2 | Blue Cross Blue Shield medicare advantage fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 3 | Ucare ifp with fairview fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 4 | Ucare ifp fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
Last updated: May 18, 2026
See Custom preparation for one-arch jaw expansion pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.