Padded custom arm compression sleeve for nighttime use 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
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

G com garment arm nght custm

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 $813 is 10% above the median hospital's median price ($742), higher than 81% of the 766 hospitals reporting HCPCS A6523. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A6523 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 5 payers, 19 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 · both	$655	$655	—	—	—	$655 – $655
2	Blue Cross Blue Shield commercial fee schedule · both	$666	$666	—	—	—	$666 – $666
3	Medica accessability fee schedule · both	$689	$689	—	—	—	$689 – $689
4	Medica medicaid fee schedule · both	$689	$689	—	—	—	$689 – $689
5	Blue Cross Blue Shield medicaid fee schedule · both	$751	$751	—	—	—	$751 – $751
6	Medica ma non-snp fee schedule · both	$752	$752	—	—	—	$752 – $752
7	Medica ma snp fee schedule · both	$752	$752	—	—	—	$752 – $752
8	Medica prime solution fee schedule · both	$752	$752	—	—	—	$752 – $752
9	Medica vantage fee schedule · both	$752	$752	—	—	—	$752 – $752
10	Ucare mhcp fee schedule · both	$773	$773	—	—	—	$773 – $773
11	Cigna commercial fee schedule · both	$924	$924	$80	9%	—	$844 – $1.0k
12	Ucare ifp with fairview fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
13	Medica bold fee schedule · both	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
14	Medica choice without / elect fee schedule · both	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
15	Medica city of st paul / essential uplan fee schedule · both	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
16	Medica choice with fee schedule · both	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
17	Ucare ifp fee schedule · outpatient	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
18	UnitedHealthcare commercial fee schedule · both	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
19	Cigna commercial fee schedule · outpatient	$1.9k	$1.9k	$169	9%	—	$1.8k – $2.1k

Last updated: May 18, 2026

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