Enteroscopic feeding tube placement with X-ray guidance 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

X-RAY GUIDE INTESTINAL TUBE

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 $108 is 49% below the median hospital's median price ($211), higher than 20% of the 1,242 hospitals reporting CPT 74355. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74355 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 6 payers, 24 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	$59	$59	$34	58%	—	$25 – $93
2	Ucare mhcp fee schedule · both	$69	$63	$29	45%	—	$25 – $95
3	Medica accessability fee schedule · both	$72	$66	$30	45%	—	$26 – $98
4	Medica medicaid fee schedule · both	$72	$66	$30	45%	—	$26 – $98
5	Blue Cross Blue Shield medicaid fee schedule · both	$77	$70	$32	45%	—	$28 – $105
6	Medica ma non-snp fee schedule · both	$99	$90	$41	45%	—	$36 – $135
7	Medica ma snp fee schedule · both	$99	$90	$41	45%	—	$36 – $135
8	Medica prime solution fee schedule · both	$99	$90	$41	45%	—	$36 – $135
9	Medica vantage fee schedule · both	$99	$90	$41	45%	—	$36 – $135
10	Blue Cross Blue Shield medicaid fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
11	UnitedHealthcare medicare advantage fee schedule · both	$111	$97	$47	48%	—	$34 – $145
12	Blue Cross Blue Shield medicare advantage fee schedule · both	$116	$101	$49	48%	—	$35 – $151
13	Blue Cross Blue Shield federal fee schedule · both	$120	$120	—	—	—	$120 – $120
14	Blue Cross Blue Shield commercial fee schedule · both	$122	$122	—	—	—	$122 – $122
15	Blue Cross Blue Shield federal fee schedule · outpatient	$156	$156	—	—	—	$156 – $156
16	Blue Cross Blue Shield commercial fee schedule · outpatient	$159	$159	—	—	—	$159 – $159
17	Cigna commercial fee schedule · both	$206	$179	$88	49%	—	$57 – $291
18	Medica bold fee schedule · both	$266	$242	$110	45%	—	$98 – $364
19	Ucare ifp with fairview fee schedule · both	$294	$255	$123	48%	—	$89 – $383
20	Ucare ifp fee schedule · both	$310	$269	$130	48%	—	$94 – $403
21	Medica choice without / elect fee schedule · both	$296	$269	$122	45%	—	$108 – $404
22	Medica city of st paul / essential uplan fee schedule · both	$296	$269	$122	45%	—	$108 – $404
23	Medica choice with fee schedule · both	$306	$279	$126	45%	—	$112 – $418
24	UnitedHealthcare commercial fee schedule · both	$350	$313	$145	46%	—	$120 – $470

Last updated: May 18, 2026

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