Surgical obturator prosthesis fitting and preparation 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

IMPRES&PREP SURG OBT PROSTH

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 $781 is 58% below the median hospital's median price ($1.9k), higher than 9% of the 1,422 hospitals reporting CPT 21076. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 21076 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 6 payers, 41 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	$392	$392	—	—	—	$392 – $392
2	Medicaid medicaid fee schedule · outpatient	$395	$395	—	—	—	$395 – $395
3	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$408	$408	—	—	—	$408 – $408
4	Ucare mhcp fee schedule · outpatient	$459	$459	—	—	—	$459 – $459
5	Medicaid medicaid fee schedule · both	$489	$489	—	—	—	$489 – $489
6	Ucare mhcp fee schedule · both	$499	$499	—	—	—	$499 – $499
7	Medica accessability fee schedule · both	$512	$512	—	—	—	$512 – $512
8	Medica medicaid fee schedule · both	$512	$512	—	—	—	$512 – $512
9	Blue Cross Blue Shield medicaid fee schedule · both	$548	$548	—	—	—	$548 – $548
10	UnitedHealthcare medicare advantage fee schedule · both	$663	$663	—	—	—	$663 – $663
11	Medica accessability fee schedule · outpatient	$667	$667	—	—	—	$667 – $667
12	Ucare ifp with fairview fee schedule · outpatient	$676	$676	—	—	—	$676 – $676
13	Blue Cross Blue Shield medicare advantage fee schedule · both	$689	$689	—	—	—	$689 – $689
14	Medica ma non-snp fee schedule · both	$712	$712	—	—	—	$712 – $712
15	Medica ma snp fee schedule · both	$712	$712	—	—	—	$712 – $712
16	Medica prime solution fee schedule · both	$712	$712	—	—	—	$712 – $712
17	Medica vantage fee schedule · both	$712	$712	—	—	—	$712 – $712
18	Medica medicaid fee schedule · outpatient	$781	$781	—	—	—	$781 – $781
19	Ucare ifp fee schedule · outpatient	$901	$901	—	—	—	$901 – $901
20	Medica ma snp fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
21	Blue Cross Blue Shield federal fee schedule · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
22	Blue Cross Blue Shield commercial fee schedule · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
23	Blue Cross Blue Shield medicaid fee schedule · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
24	Cigna commercial fee schedule · outpatient	$1.6k	$1.6k	$143	9%	—	$1.5k – $1.8k
25	Ucare ifp with fairview fee schedule · both	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k

Page 1 of 2 · 41 rates

Last updated: May 18, 2026

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See Surgical obturator prosthesis fitting and preparation pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.