Large sterile foam wound dressing without adhesive border 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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Foam drg > 48 sq in w/o brdr

Maple Grove, MN

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Pricing by billing methodology

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $44 is 3% above the median hospital's median price ($43), higher than 59% of the 837 hospitals reporting HCPCS A6211. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A6211 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	$35	$35	—	—	—	$35 – $35
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
4	Blue Cross Blue Shield federal fee schedule · both	$38	$38	—	—	—	$38 – $38
5	Blue Cross Blue Shield commercial fee schedule · both	$39	$39	—	—	—	$39 – $39
6	Medica accessability fee schedule · both	$40	$40	—	—	—	$40 – $40
7	Medica medicaid fee schedule · both	$40	$40	—	—	—	$40 – $40
8	Medica ma non-snp fee schedule · both	$44	$44	—	—	—	$44 – $44
9	Medica ma snp fee schedule · both	$44	$44	—	—	—	$44 – $44
10	Medica prime solution fee schedule · both	$44	$44	—	—	—	$44 – $44
11	Medica vantage fee schedule · both	$44	$44	—	—	—	$44 – $44
12	Blue Cross Blue Shield medicaid fee schedule · both	$44	$44	—	—	—	$44 – $44
13	Ucare mhcp fee schedule · both	$45	$45	—	—	—	$45 – $45
14	Cigna commercial fee schedule · both	$54	$54	$5	9%	—	$49 – $58
15	Ucare ifp with fairview fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
16	UnitedHealthcare commercial fee schedule · both	$75	$75	—	—	—	$75 – $75
17	Medica bold fee schedule · both	$76	$76	—	—	—	$76 – $76
18	Medica choice without / elect fee schedule · both	$84	$84	—	—	—	$84 – $84
19	Medica city of st paul / essential uplan fee schedule · both	$84	$84	—	—	—	$84 – $84
20	Medica choice with fee schedule · both	$87	$87	—	—	—	$87 – $87
21	Ucare ifp fee schedule · outpatient	$96	$96	—	—	—	$96 – $96

Last updated: May 18, 2026

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