Compression arm sleeve and glove 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
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Gradient comp sleev/glov

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 $115 is 10% above the median hospital's median price ($105), higher than 81% of the 767 hospitals reporting HCPCS A6575. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A6575 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	$93	$93	—	—	—	$93 – $93
2	Blue Cross Blue Shield commercial fee schedule · both	$94	$94	—	—	—	$94 – $94
3	Medica accessability fee schedule · both	$97	$97	—	—	—	$97 – $97
4	Medica medicaid fee schedule · both	$97	$97	—	—	—	$97 – $97
5	Blue Cross Blue Shield medicaid fee schedule · both	$106	$106	—	—	—	$106 – $106
6	Medica ma non-snp fee schedule · both	$106	$106	—	—	—	$106 – $106
7	Medica ma snp fee schedule · both	$106	$106	—	—	—	$106 – $106
8	Medica prime solution fee schedule · both	$106	$106	—	—	—	$106 – $106
9	Medica vantage fee schedule · both	$106	$106	—	—	—	$106 – $106
10	Ucare mhcp fee schedule · both	$109	$109	—	—	—	$109 – $109
11	Cigna commercial fee schedule · both	$131	$131	$11	9%	—	$119 – $142
12	Ucare ifp with fairview fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
13	Medica bold fee schedule · both	$184	$184	—	—	—	$184 – $184
14	Medica choice without / elect fee schedule · both	$204	$204	—	—	—	$204 – $204
15	Medica city of st paul / essential uplan fee schedule · both	$204	$204	—	—	—	$204 – $204
16	Medica choice with fee schedule · both	$211	$211	—	—	—	$211 – $211
17	Ucare ifp fee schedule · outpatient	$237	$237	—	—	—	$237 – $237
18	UnitedHealthcare commercial fee schedule · both	$251	$251	—	—	—	$251 – $251
19	Cigna commercial fee schedule · outpatient	$275	$275	$24	9%	—	$251 – $299

Last updated: May 18, 2026

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