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
HLA CLASS I PHENOTYPE QUAL
Maple Grove, MN
See all hospitals reporting CPT 86830 →Price type
Fairview Maple Grove Surgery Center’s median price of $115 is 14% above the median hospital's median price ($100), higher than 62% of the 1,566 hospitals reporting CPT 86830. 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, 25 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 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 2 | Medicaid medicaid fee schedule · both | $95 | $95 | — | — | — | $95 – $95 |
| 3 | Blue Cross Blue Shield federal fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 4 | Medica accessability fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 5 | Medica medicaid fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 6 | Blue Cross Blue Shield commercial fee schedule · both | $97 | $97 | — | — | — | $97 – $97 |
| 7 | Ucare mhcp fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 8 | Medica ma non-snp fee schedule · both | $101 | $102 | $1 | 1% | — | $101 – $104 |
| 9 | Medica ma snp fee schedule · both | $101 | $102 | $1 | 1% | — | $101 – $104 |
| 10 | Medica prime solution fee schedule · both | $101 | $102 | $1 | 1% | — | $101 – $104 |
| 11 | Medica vantage fee schedule · both | $101 | $102 | $1 | 1% | — | $101 – $104 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $104 | $104 | — | — | — | $104 – $104 |
| 13 | Blue Cross Blue Shield federal fee schedule · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 14 | Blue Cross Blue Shield commercial fee schedule · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 15 | Cigna commercial fee schedule · both | $141 | $141 | $12 | 9% | — | $129 – $153 |
| 16 | Ucare ifp with fairview fee schedule · outpatient | $165 | $165 | — | — | — | $165 – $165 |
| 17 | Medica bold fee schedule · both | $180 | $182 | $2 | 1% | — | $180 – $185 |
| 18 | Ucare ifp fee schedule · both | $192 | $192 | — | — | — | $192 – $192 |
| 19 | Ucare ifp with fairview fee schedule · both | $192 | $192 | — | — | — | $192 – $192 |
| 20 | Medica choice without / elect fee schedule · both | $200 | $202 | $2 | 1% | — | $200 – $205 |
| 21 | Medica city of st paul / essential uplan fee schedule · both | $200 | $202 | $2 | 1% | — | $200 – $205 |
| 22 | Medica choice with fee schedule · both | $207 | $209 | $3 | 1% | — | $207 – $212 |
| 23 | Ucare ifp fee schedule · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 24 | UnitedHealthcare commercial fee schedule · both | $252 | $252 | — | — | — | $252 – $252 |
| 25 | Cigna commercial fee schedule · outpatient | $269 | $269 | $23 | 9% | — | $246 – $293 |
Last updated: May 18, 2026
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