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
Dialysat sol fld vol > 249cc
Maple Grove, MN
See all hospitals reporting HCPCS A4720 →Price type
Fairview Maple Grove Surgery Center’s median price of $16 is 15% below the median hospital's median price ($19), higher than 42% of the 183 hospitals reporting HCPCS A4720. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 11 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 · both | $6 | $6 | — | — | — | $6 – $6 |
| 2 | Blue Cross Blue Shield federal fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $6 | $6 | — | — | — | $6 – $6 |
| 4 | Blue Cross Blue Shield commercial fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 6 | Ucare ifp with fairview fee schedule · both | $16 | $16 | — | — | — | $16 – $16 |
| 7 | Medica accessability fee schedule · both | $17 | $17 | — | — | — | $17 – $17 |
| 8 | Medica medicaid fee schedule · both | $17 | $17 | — | — | — | $17 – $17 |
| 9 | Ucare ifp fee schedule · both | $17 | $17 | — | — | — | $17 – $17 |
| 10 | Blue Cross Blue Shield medicaid fee schedule · both | $18 | $18 | — | — | — | $18 – $18 |
| 11 | Ucare mhcp fee schedule · both | $18 | $18 | — | — | — | $18 – $18 |
Last updated: May 18, 2026
See Dialysate fluid, over 249 cc pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.