Cmprsburngarment glove-wrist at Fairview Maple Grove Surgery Center

Maple Grove, MN

See all hospitals reporting HCPCS A6504 →

Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $143 is 40% above the median hospital's median price ($102), higher than 60% of the 215 hospitals reporting HCPCS A6504. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A6504 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 2 payers, 6 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.

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield federal fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$131	$131	—	—	—	$131 – $131
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$131	$131	—	—	—	$131 – $131
4	Blue Cross Blue Shield federal fee schedule · both	$132	$132	—	—	—	$132 – $132
5	Blue Cross Blue Shield commercial fee schedule · both	$134	$134	—	—	—	$134 – $134
6	Cigna commercial fee schedule · both	$662	$662	$58	9%	—	$605 – $720

Last updated: May 18, 2026

Compare to other hospitals

See Cmprsburngarment glove-wrist pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.

HCPCS A6504