Drainable ostomy pouch with rubber faceplate at Fairview Maple Grove Surgery Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Drainable rubber pch w/o fp

Maple Grove, MN

See all hospitals reporting HCPCS A4378 →

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $46 is 4% above the median hospital's median price ($44), higher than 66% of the 669 hospitals reporting HCPCS A4378. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A4378 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 5 payers, 21 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 federal fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
4	Blue Cross Blue Shield federal fee schedule · both	$40	$40	—	—	—	$40 – $40
5	Blue Cross Blue Shield commercial fee schedule · both	$41	$41	—	—	—	$41 – $41
6	Medica accessability fee schedule · both	$42	$42	—	—	—	$42 – $42
7	Medica medicaid fee schedule · both	$42	$42	—	—	—	$42 – $42
8	Medica ma non-snp fee schedule · both	$46	$46	—	—	—	$46 – $46
9	Medica ma snp fee schedule · both	$46	$46	—	—	—	$46 – $46
10	Medica prime solution fee schedule · both	$46	$46	—	—	—	$46 – $46
11	Medica vantage fee schedule · both	$46	$46	—	—	—	$46 – $46
12	Blue Cross Blue Shield medicaid fee schedule · both	$46	$46	—	—	—	$46 – $46
13	Ucare mhcp fee schedule · both	$47	$47	—	—	—	$47 – $47
14	Cigna commercial fee schedule · both	$56	$56	$5	9%	—	$51 – $61
15	Ucare ifp with fairview fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
16	UnitedHealthcare commercial fee schedule · both	$78	$78	—	—	—	$78 – $78
17	Medica bold fee schedule · both	$79	$79	—	—	—	$79 – $79
18	Medica choice without / elect fee schedule · both	$88	$88	—	—	—	$88 – $88
19	Medica city of st paul / essential uplan fee schedule · both	$88	$88	—	—	—	$88 – $88
20	Medica choice with fee schedule · both	$91	$91	—	—	—	$91 – $91
21	Ucare ifp fee schedule · outpatient	$101	$101	—	—	—	$101 – $101

Last updated: May 18, 2026

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