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
INTERROG&PRGRMG IPNSS POLYSM
Maple Grove, MN
See all hospitals reporting CPT 93152 →Price type
Fairview Maple Grove Surgery Center’s median price of $279 is 15% below the median hospital's median price ($329), higher than 19% of the 977 hospitals reporting CPT 93152. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 17 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 | UnitedHealthcare medicare advantage fee schedule · both | $81 | $81 | — | — | — | $81 – $81 |
| 2 | Blue Cross Blue Shield medicare advantage fee schedule · both | $84 | $84 | — | — | — | $84 – $84 |
| 3 | Medica ma non-snp fee schedule · both | $87 | $87 | — | — | — | $87 – $87 |
| 4 | Medica ma snp fee schedule · both | $87 | $87 | — | — | — | $87 – $87 |
| 5 | Medica prime solution fee schedule · both | $87 | $87 | — | — | — | $87 – $87 |
| 6 | Medica vantage fee schedule · both | $87 | $87 | — | — | — | $87 – $87 |
| 7 | Ucare ifp with fairview fee schedule · both | $213 | $213 | — | — | — | $213 – $213 |
| 8 | Ucare ifp fee schedule · both | $224 | $224 | — | — | — | $224 – $224 |
| 9 | Medica bold fee schedule · both | $274 | $274 | — | — | — | $274 – $274 |
| 10 | UnitedHealthcare commercial fee schedule · both | $288 | $288 | — | — | — | $288 – $288 |
| 11 | Medica choice without / elect fee schedule · both | $304 | $304 | — | — | — | $304 – $304 |
| 12 | Medica city of st paul / essential uplan fee schedule · both | $304 | $304 | — | — | — | $304 – $304 |
| 13 | Blue Cross Blue Shield federal fee schedule · both | $311 | $311 | — | — | — | $311 – $311 |
| 14 | Medica choice with fee schedule · both | $315 | $315 | — | — | — | $315 – $315 |
| 15 | Blue Cross Blue Shield commercial fee schedule · both | $316 | $316 | — | — | — | $316 – $316 |
| 16 | Cigna commercial fee schedule · outpatient | $333 | $333 | $29 | 9% | — | $304 – $362 |
| 17 | Cigna commercial fee schedule · both | $412 | $412 | $36 | 9% | — | $376 – $447 |
Last updated: May 18, 2026
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