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
G com stcking bk 30-40 custm
Maple Grove, MN
See all hospitals reporting HCPCS A6553 →Price type
Fairview Maple Grove Surgery Center’s median price of $252 is 10% above the median hospital's median price ($230), higher than 81% of the 773 hospitals reporting HCPCS A6553. 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 | $203 | $203 | — | — | — | $203 – $203 |
| 2 | Blue Cross Blue Shield commercial fee schedule · both | $207 | $207 | — | — | — | $207 – $207 |
| 3 | Medica accessability fee schedule · both | $214 | $214 | — | — | — | $214 – $214 |
| 4 | Medica medicaid fee schedule · both | $214 | $214 | — | — | — | $214 – $214 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · both | $233 | $233 | — | — | — | $233 – $233 |
| 6 | Medica ma non-snp fee schedule · both | $234 | $234 | — | — | — | $234 – $234 |
| 7 | Medica ma snp fee schedule · both | $234 | $234 | — | — | — | $234 – $234 |
| 8 | Medica prime solution fee schedule · both | $234 | $234 | — | — | — | $234 – $234 |
| 9 | Medica vantage fee schedule · both | $234 | $234 | — | — | — | $234 – $234 |
| 10 | Ucare mhcp fee schedule · both | $240 | $240 | — | — | — | $240 – $240 |
| 11 | Cigna commercial fee schedule · both | $287 | $287 | $25 | 9% | — | $262 – $312 |
| 12 | Ucare ifp with fairview fee schedule · outpatient | $390 | $390 | — | — | — | $390 – $390 |
| 13 | Medica bold fee schedule · both | $404 | $404 | — | — | — | $404 – $404 |
| 14 | Medica choice without / elect fee schedule · both | $448 | $448 | — | — | — | $448 – $448 |
| 15 | Medica city of st paul / essential uplan fee schedule · both | $448 | $448 | — | — | — | $448 – $448 |
| 16 | Medica choice with fee schedule · both | $464 | $464 | — | — | — | $464 – $464 |
| 17 | Ucare ifp fee schedule · outpatient | $520 | $520 | — | — | — | $520 – $520 |
| 18 | UnitedHealthcare commercial fee schedule · both | $551 | $551 | — | — | — | $551 – $551 |
| 19 | Cigna commercial fee schedule · outpatient | $603 | $603 | $52 | 9% | — | $551 – $655 |
Last updated: May 18, 2026
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