Cystoscopy to remove bladder clots 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

CYSTO W/IRRG&EVAC MLT CLOTS

Maple Grove, MN

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $1.0k is 70% below the median hospital's median price ($3.5k), higher than 18% of the 1,918 hospitals reporting CPT 52001. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 52001 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	Medicaid medicaid fee schedule · both	$191	$191	—	—	—	$191 – $191
2	Ucare mhcp fee schedule · both	$194	$194	—	—	—	$194 – $194
3	Medica accessability fee schedule · both	$203	$203	—	—	—	$203 – $203
4	Medica medicaid fee schedule · both	$203	$203	—	—	—	$203 – $203
5	Blue Cross Blue Shield medicaid fee schedule · both	$218	$218	—	—	—	$218 – $218
6	UnitedHealthcare medicare advantage fee schedule · both	$258	$258	—	—	—	$258 – $258
7	Blue Cross Blue Shield medicare advantage fee schedule · both	$269	$269	—	—	—	$269 – $269
8	Medica ma non-snp fee schedule · both	$278	$278	—	—	—	$278 – $278
9	Medica ma snp fee schedule · both	$278	$278	—	—	—	$278 – $278
10	Medica prime solution fee schedule · both	$278	$278	—	—	—	$278 – $278
11	Medica vantage fee schedule · both	$278	$278	—	—	—	$278 – $278
12	Medica accessability fee schedule · outpatient	$667	$667	—	—	—	$667 – $667
13	Ucare ifp with fairview fee schedule · both	$682	$682	—	—	—	$682 – $682
14	Ucare ifp fee schedule · both	$718	$718	—	—	—	$718 – $718
15	Medica medicaid fee schedule · outpatient	$781	$781	—	—	—	$781 – $781
16	Medica bold fee schedule · both	$814	$814	—	—	—	$814 – $814
17	Medica choice without / elect fee schedule · both	$905	$905	—	—	—	$905 – $905
18	Medica city of st paul / essential uplan fee schedule · both	$905	$905	—	—	—	$905 – $905
19	UnitedHealthcare commercial fee schedule · both	$931	$931	—	—	—	$931 – $931
20	Medica choice with fee schedule · both	$936	$936	—	—	—	$936 – $936
21	Blue Cross Blue Shield federal fee schedule · both	$946	$946	—	—	—	$946 – $946
22	Blue Cross Blue Shield commercial fee schedule · both	$963	$963	—	—	—	$963 – $963
23	Medica ma snp fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
24	Blue Cross Blue Shield medicaid fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
25	Cigna commercial fee schedule · both	$1.2k	$1.2k	$106	9%	—	$1.1k – $1.3k

Page 1 of 2 · 41 rates

Last updated: May 18, 2026

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