Interim obturator prosthesis fitting and custom 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 INTRM 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 $1.5k is 58% below the median hospital's median price ($3.7k), higher than 11% of the 1,447 hospitals reporting CPT 21079. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 21079 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	$663	$663	—	—	—	$663 – $663
2	Medicaid medicaid fee schedule · outpatient	$668	$668	—	—	—	$668 – $668
3	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$689	$689	—	—	—	$689 – $689
4	Ucare mhcp fee schedule · outpatient	$776	$776	—	—	—	$776 – $776
5	Medicaid medicaid fee schedule · both	$809	$809	—	—	—	$809 – $809
6	Ucare mhcp fee schedule · both	$824	$824	—	—	—	$824 – $824
7	Medica accessability fee schedule · both	$848	$848	—	—	—	$848 – $848
8	Medica medicaid fee schedule · both	$848	$848	—	—	—	$848 – $848
9	Blue Cross Blue Shield medicaid fee schedule · both	$907	$907	—	—	—	$907 – $907
10	Medica accessability fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
11	UnitedHealthcare medicare advantage fee schedule · both	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
12	Blue Cross Blue Shield medicare advantage fee schedule · both	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
13	Ucare ifp with fairview fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
14	Medica ma non-snp fee schedule · both	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
15	Medica ma snp fee schedule · both	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
16	Medica prime solution fee schedule · both	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
17	Medica vantage fee schedule · both	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
18	Medica medicaid fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
19	Ucare ifp fee schedule · outpatient	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
20	Medica ma snp fee schedule · outpatient	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
21	Blue Cross Blue Shield federal fee schedule · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
22	Blue Cross Blue Shield commercial fee schedule · outpatient	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k
23	Blue Cross Blue Shield medicaid fee schedule · outpatient	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k
24	Ucare ifp with fairview fee schedule · both	$2.9k	$2.9k	—	—	—	$2.9k – $2.9k
25	Medica bold fee schedule · outpatient	$2.9k	$2.9k	—	—	—	$2.9k – $2.9k

Page 1 of 2 · 41 rates

Last updated: May 18, 2026

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