Diaphragm at Fairview Maple Grove Surgery Center

Maple Grove, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $79 is 56% above the median hospital's median price ($51), higher than 69% of the 349 hospitals reporting HCPCS A4266. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A4266 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 4 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	Ucare ifp with fairview fee schedule · both	$70	$70	—	—	—	$70 – $70
2	Blue Cross Blue Shield federal fee schedule · both	$73	$73	—	—	—	$73 – $73
3	Blue Cross Blue Shield federal fee schedule · outpatient	$73	$73	—	—	—	$73 – $73
4	Medica accessability fee schedule · both	$73	$73	—	—	—	$73 – $73
5	Medica medicaid fee schedule · both	$73	$73	—	—	—	$73 – $73
6	Blue Cross Blue Shield commercial fee schedule · both	$74	$74	—	—	—	$74 – $74
7	Blue Cross Blue Shield commercial fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
8	Blue Cross Blue Shield medicaid fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
9	Ucare ifp fee schedule · both	$74	$74	—	—	—	$74 – $74
10	Blue Cross Blue Shield medicaid fee schedule · both	$79	$79	—	—	—	$79 – $79
11	Ucare mhcp fee schedule · both	$79	$79	—	—	—	$79 – $79
12	Cigna commercial fee schedule · both	$102	$102	$9	9%	—	$93 – $111
13	Cigna commercial fee schedule · outpatient	$215	$215	$19	9%	—	$196 – $233

Last updated: May 18, 2026

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