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
Choline c-11
Maple Grove, MN
See all hospitals reporting HCPCS A9515 →Price type
Fairview Maple Grove Surgery Center’s median price of $6.0k is 71% above the median hospital's median price ($3.5k), higher than 79% of the 1,004 hospitals reporting HCPCS A9515. 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, 20 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 | $142 | $142 | — | — | — | $142 – $142 |
| 2 | Blue Cross Blue Shield federal fee schedule · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $145 | $145 | — | — | — | $145 – $145 |
| 4 | Blue Cross Blue Shield commercial fee schedule · outpatient | $145 | $145 | — | — | — | $145 – $145 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $145 | $145 | — | — | — | $145 – $145 |
| 6 | UnitedHealthcare medicare advantage fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 7 | Blue Cross Blue Shield medicare advantage fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 8 | Ucare ifp with fairview fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 9 | Ucare ifp fee schedule · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 10 | Medica ma non-snp fee schedule · both | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 11 | Medica ma snp fee schedule · both | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 12 | Medica prime solution fee schedule · both | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 13 | Medica vantage fee schedule · both | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 14 | Cigna commercial fee schedule · both | $6.4k | $6.4k | $560 | 9% | — | $5.9k – $7.0k |
| 15 | UnitedHealthcare commercial fee schedule · both | $10.3k | $10.3k | — | — | — | $10.3k – $10.3k |
| 16 | Medica bold fee schedule · both | $10.7k | $10.7k | — | — | — | $10.7k – $10.7k |
| 17 | Medica choice without / elect fee schedule · both | $11.9k | $11.9k | — | — | — | $11.9k – $11.9k |
| 18 | Medica city of st paul / essential uplan fee schedule · both | $11.9k | $11.9k | — | — | — | $11.9k – $11.9k |
| 19 | Medica choice with fee schedule · both | $12.4k | $12.4k | — | — | — | $12.4k – $12.4k |
| 20 | Cigna commercial fee schedule · outpatient | $13.5k | $13.5k | $1.2k | 9% | — | $12.3k – $14.7k |
Last updated: May 18, 2026
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