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
NRV GRF MLTST HND/FOOT >4 CM
Maple Grove, MN
See all hospitals reporting CPT 64896 →Price type
Fairview Maple Grove Surgery Center’s median price of $3.2k is 52% below the median hospital's median price ($6.7k), higher than 20% of the 1,372 hospitals reporting CPT 64896. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $951 | $951 | — | — | — | $951 – $951 |
| 2 | Ucare mhcp fee schedule · both | $969 | $969 | — | — | — | $969 – $969 |
| 3 | Medica accessability fee schedule · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 4 | Medica medicaid fee schedule · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 5 | Medica accessability fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | Blue Cross Blue Shield medicaid fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 7 | Medica medicaid fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 8 | UnitedHealthcare medicare advantage fee schedule · both | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 9 | Blue Cross Blue Shield medicare advantage fee schedule · both | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 10 | Medica ma non-snp fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | Medica ma snp fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 12 | Medica prime solution fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | Medica vantage fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | Medica ma snp fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 15 | Medica bold fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 16 | Medica city of st paul / essential uplan fee schedule · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 17 | UnitedHealthcare medicare advantage fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 18 | Medicaid medicaid fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 19 | Medica vantage fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 20 | Medica choice without / elect fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 21 | Blue Cross Blue Shield medicare advantage fee schedule · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 22 | Medica prime solution fee schedule · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 23 | Medica choice with fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 24 | Ucare ifp with fairview fee schedule · both | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 25 | Ucare ifp fee schedule · both | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
Last updated: May 18, 2026
See Nerve graft to hand or foot, over 4 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.