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
Non-waterproof tape
Maple Grove, MN
See all hospitals reporting HCPCS A4450 →Price type
Fairview Maple Grove Surgery Center’s median price of $0 is 75% above the median hospital's median price ($0), higher than 65% of the 656 hospitals reporting HCPCS A4450. 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, 23 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 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Medica accessability fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Medica medicaid fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Ucare ifp fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Medica ma non-snp fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Medica ma snp fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Medica prime solution fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Medica vantage fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Ucare mhcp fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Blue Cross Blue Shield commercial fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Blue Cross Blue Shield commercial fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Blue Cross Blue Shield federal fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Blue Cross Blue Shield federal fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Medica bold fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Medica choice without / elect fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Medica city of st paul / essential uplan fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Ucare ifp with fairview fee schedule · outpatient | $0 | $0 | $0 | 19% | — | $0 – $0 |
| 20 | Medica choice with fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 21 | UnitedHealthcare commercial fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Ucare ifp fee schedule · outpatient | $0 | $0 | $0 | 18% | — | $0 – $0 |
| 23 | Cigna commercial fee schedule · both | $0 | $0 | $0 | 9% | — | $0 – $0 |
Last updated: May 18, 2026
See Non-waterproof medical tape, 18 square inches pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.