Tenderwet 4x5 inch wound dressing 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Hydrogel drg >16<=48 w/o bdr

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 $18 is 4% above the median hospital's median price ($18), higher than 65% of the 702 hospitals reporting HCPCS A6243. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A6243 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	$15	$15	—	—	—	$15 – $15
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
4	Blue Cross Blue Shield federal fee schedule · both	$16	$16	—	—	—	$16 – $16
5	Blue Cross Blue Shield commercial fee schedule · both	$16	$16	—	—	—	$16 – $16
6	Medica accessability fee schedule · both	$17	$17	—	—	—	$17 – $17
7	Medica medicaid fee schedule · both	$17	$17	—	—	—	$17 – $17
8	Medica ma non-snp fee schedule · both	$18	$18	—	—	—	$18 – $18
9	Medica ma snp fee schedule · both	$18	$18	—	—	—	$18 – $18
10	Medica prime solution fee schedule · both	$18	$18	—	—	—	$18 – $18
11	Medica vantage fee schedule · both	$18	$18	—	—	—	$18 – $18
12	Blue Cross Blue Shield medicaid fee schedule · both	$18	$18	—	—	—	$18 – $18
13	Ucare mhcp fee schedule · both	$19	$19	—	—	—	$19 – $19
14	Cigna commercial fee schedule · both	$22	$22	$2	9%	—	$20 – $24
15	Ucare ifp with fairview fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
16	UnitedHealthcare commercial fee schedule · both	$31	$31	—	—	—	$31 – $31
17	Medica bold fee schedule · both	$32	$32	—	—	—	$32 – $32
18	Medica choice without / elect fee schedule · both	$35	$35	—	—	—	$35 – $35
19	Medica city of st paul / essential uplan fee schedule · both	$35	$35	—	—	—	$35 – $35
20	Medica choice with fee schedule · both	$36	$36	—	—	—	$36 – $36
21	Ucare ifp fee schedule · outpatient	$40	$40	—	—	—	$40 – $40

Last updated: May 18, 2026

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