Foam dressing, non-adhesive, 6 by 6 inches 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

Foam drg >16<=48 sq in w/o b

Maple Grove, MN

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $30 is 4% above the median hospital's median price ($29), higher than 62% of the 889 hospitals reporting HCPCS A6210. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A6210 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	$24	$24	—	—	—	$24 – $24
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
4	Blue Cross Blue Shield federal fee schedule · both	$26	$26	—	—	—	$26 – $26
5	Blue Cross Blue Shield commercial fee schedule · both	$26	$26	—	—	—	$26 – $26
6	Medica accessability fee schedule · both	$27	$27	—	—	—	$27 – $27
7	Medica medicaid fee schedule · both	$27	$27	—	—	—	$27 – $27
8	Medica ma non-snp fee schedule · both	$30	$30	—	—	—	$30 – $30
9	Medica ma snp fee schedule · both	$30	$30	—	—	—	$30 – $30
10	Medica prime solution fee schedule · both	$30	$30	—	—	—	$30 – $30
11	Medica vantage fee schedule · both	$30	$30	—	—	—	$30 – $30
12	Blue Cross Blue Shield medicaid fee schedule · both	$30	$30	—	—	—	$30 – $30
13	Ucare mhcp fee schedule · both	$30	$30	—	—	—	$30 – $30
14	Cigna commercial fee schedule · both	$36	$36	$3	9%	—	$33 – $40
15	Ucare ifp with fairview fee schedule · outpatient	$49	$49	—	—	—	$49 – $49
16	UnitedHealthcare commercial fee schedule · both	$51	$51	—	—	—	$51 – $51
17	Medica bold fee schedule · both	$51	$51	—	—	—	$51 – $51
18	Medica choice without / elect fee schedule · both	$57	$57	—	—	—	$57 – $57
19	Medica city of st paul / essential uplan fee schedule · both	$57	$57	—	—	—	$57 – $57
20	Medica choice with fee schedule · both	$59	$59	—	—	—	$59 – $59
21	Ucare ifp fee schedule · outpatient	$65	$65	—	—	—	$65 – $65

Last updated: May 18, 2026

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See Foam dressing, non-adhesive, 6 by 6 inches pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.