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
MR SFTY IMPLT&/FB ASMT STF 1
Maple Grove, MN
See all hospitals reporting CPT 76014 →Price type
Fairview Maple Grove Surgery Center’s median price of $11 is 69% below the median hospital's median price ($37), higher than 1% of the 1,740 hospitals reporting CPT 76014. 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, 13 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 | $8 | $8 | — | — | — | $8 – $8 |
| 2 | Ucare mhcp fee schedule · both | $8 | $8 | — | — | — | $8 – $8 |
| 3 | UnitedHealthcare medicare advantage fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 4 | Blue Cross Blue Shield medicare advantage fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 5 | Medica ma non-snp fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 6 | Medica ma snp fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 7 | Medica prime solution fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 8 | Medica vantage fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 9 | Blue Cross Blue Shield federal fee schedule · both | $22 | $22 | — | — | — | $22 – $22 |
| 10 | Blue Cross Blue Shield commercial fee schedule · both | $22 | $22 | — | — | — | $22 – $22 |
| 11 | Cigna commercial fee schedule · outpatient | $27 | $27 | $2 | 9% | — | $25 – $30 |
| 12 | Ucare ifp with fairview fee schedule · both | $28 | $28 | — | — | — | $28 – $28 |
| 13 | Ucare ifp fee schedule · both | $29 | $29 | — | — | — | $29 – $29 |
Last updated: May 18, 2026
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