Large sterile hydrogel 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.

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

Original text from hospital filings

Hydrogel drg > 48 sq in w/b

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 $36 is 4% above the median hospital's median price ($34), higher than 66% of the 672 hospitals reporting HCPCS A6247. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A6247 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	$28	$28	—	—	—	$28 – $28
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
4	Blue Cross Blue Shield federal fee schedule · both	$31	$31	—	—	—	$31 – $31
5	Blue Cross Blue Shield commercial fee schedule · both	$31	$31	—	—	—	$31 – $31
6	Medica accessability fee schedule · both	$32	$32	—	—	—	$32 – $32
7	Medica medicaid fee schedule · both	$32	$32	—	—	—	$32 – $32
8	Medica ma non-snp fee schedule · both	$35	$35	—	—	—	$35 – $35
9	Medica ma snp fee schedule · both	$35	$35	—	—	—	$35 – $35
10	Medica prime solution fee schedule · both	$35	$35	—	—	—	$35 – $35
11	Medica vantage fee schedule · both	$35	$35	—	—	—	$35 – $35
12	Blue Cross Blue Shield medicaid fee schedule · both	$35	$35	—	—	—	$35 – $35
13	Ucare mhcp fee schedule · both	$36	$36	—	—	—	$36 – $36
14	Cigna commercial fee schedule · both	$43	$43	$4	9%	—	$40 – $47
15	Ucare ifp with fairview fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
16	UnitedHealthcare commercial fee schedule · both	$60	$60	—	—	—	$60 – $60
17	Medica bold fee schedule · both	$61	$61	—	—	—	$61 – $61
18	Medica choice without / elect fee schedule · both	$68	$68	—	—	—	$68 – $68
19	Medica city of st paul / essential uplan fee schedule · both	$68	$68	—	—	—	$68 – $68
20	Medica choice with fee schedule · both	$70	$70	—	—	—	$70 – $70
21	Ucare ifp fee schedule · outpatient	$78	$78	—	—	—	$78 – $78

Last updated: May 18, 2026

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