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.
Original text from hospital filings
Grad com stocking bk 30-40
Maple Grove, MN
See all hospitals reporting HCPCS A6552 →Price type
Fairview Maple Grove Surgery Center’s median price of $65 is 10% above the median hospital's median price ($59), higher than 80% of the 770 hospitals reporting HCPCS A6552. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $52 | $52 | — | — | — | $52 – $52 |
| 2 | Blue Cross Blue Shield commercial fee schedule · both | $53 | $53 | — | — | — | $53 – $53 |
| 3 | Medica accessability fee schedule · both | $55 | $55 | — | — | — | $55 – $55 |
| 4 | Medica medicaid fee schedule · both | $55 | $55 | — | — | — | $55 – $55 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · both | $60 | $60 | — | — | — | $60 – $60 |
| 6 | Medica ma non-snp fee schedule · both | $60 | $60 | — | — | — | $60 – $60 |
| 7 | Medica ma snp fee schedule · both | $60 | $60 | — | — | — | $60 – $60 |
| 8 | Medica prime solution fee schedule · both | $60 | $60 | — | — | — | $60 – $60 |
| 9 | Medica vantage fee schedule · both | $60 | $60 | — | — | — | $60 – $60 |
| 10 | Ucare mhcp fee schedule · both | $61 | $61 | — | — | — | $61 – $61 |
| 11 | Cigna commercial fee schedule · both | $73 | $73 | $6 | 9% | — | $67 – $80 |
| 12 | Ucare ifp with fairview fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 13 | Medica bold fee schedule · both | $103 | $103 | — | — | — | $103 – $103 |
| 14 | Medica choice without / elect fee schedule · both | $115 | $115 | — | — | — | $115 – $115 |
| 15 | Medica city of st paul / essential uplan fee schedule · both | $115 | $115 | — | — | — | $115 – $115 |
| 16 | Medica choice with fee schedule · both | $119 | $119 | — | — | — | $119 – $119 |
| 17 | Ucare ifp fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 18 | UnitedHealthcare commercial fee schedule · both | $141 | $141 | — | — | — | $141 – $141 |
| 19 | Cigna commercial fee schedule · outpatient | $154 | $154 | $13 | 9% | — | $141 – $167 |
Last updated: May 18, 2026
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