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
APP MDLTY 1+IONTPHRSIS EA 15
Maple Grove, MN
See all hospitals reporting CPT 97033 →Price type
Fairview Maple Grove Surgery Center’s median price of $20 is 61% below the median hospital's median price ($52), higher than 17% of the 2,326 hospitals reporting CPT 97033. 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 | Medica accessability fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 2 | Medica medicaid fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 3 | Medicaid medicaid fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 4 | Ucare mhcp fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · both | $16 | $16 | — | — | — | $16 – $16 |
| 6 | UnitedHealthcare medicare advantage fee schedule · both | $18 | $18 | — | — | — | $18 – $18 |
| 7 | Cigna commercial fee schedule · both | $19 | $19 | $2 | 9% | — | $17 – $20 |
| 8 | Blue Cross Blue Shield medicare advantage fee schedule · both | $19 | $19 | — | — | — | $19 – $19 |
| 9 | Medica ma non-snp fee schedule · both | $20 | $20 | — | — | — | $20 – $20 |
| 10 | Medica ma snp fee schedule · both | $20 | $20 | — | — | — | $20 – $20 |
| 11 | Medica prime solution fee schedule · both | $20 | $20 | — | — | — | $20 – $20 |
| 12 | Medica vantage fee schedule · both | $20 | $20 | — | — | — | $20 – $20 |
| 13 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 14 | Ucare ifp with fairview fee schedule · both | $49 | $49 | — | — | — | $49 – $49 |
| 15 | Ucare ifp fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 16 | Medica bold fee schedule · both | $54 | $54 | — | — | — | $54 – $54 |
| 17 | Blue Cross Blue Shield federal fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 18 | Blue Cross Blue Shield commercial fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 19 | Medica choice without / elect fee schedule · both | $60 | $60 | — | — | — | $60 – $60 |
| 20 | Medica city of st paul / essential uplan fee schedule · both | $60 | $60 | — | — | — | $60 – $60 |
| 21 | UnitedHealthcare commercial fee schedule · both | $61 | $61 | — | — | — | $61 – $61 |
| 22 | Medica choice with fee schedule · both | $62 | $62 | — | — | — | $62 – $62 |
| 23 | Blue Cross Blue Shield federal fee schedule · both | $65 | $65 | — | — | — | $65 – $65 |
| 24 | Blue Cross Blue Shield commercial fee schedule · both | $66 | $66 | — | — | — | $66 – $66 |
| 25 | Cigna commercial fee schedule · outpatient | $204 | $204 | $18 | 9% | — | $187 – $222 |
Last updated: May 18, 2026
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