Diagnostic nitrogen-13 ammonia imaging dose 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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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Nitrogen N-13 ammonia

Maple Grove, MN

See all hospitals reporting HCPCS A9526 →

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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 $504 is 57% below the median hospital's median price ($1.2k), higher than 12% of the 892 hospitals reporting HCPCS A9526. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9526 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 5 payers, 21 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	Ucare mhcp fee schedule · both	$156	$156	—	—	—	$156 – $156
2	Ucare ifp with fairview fee schedule · both	$157	$157	—	—	—	$157 – $157
3	Blue Cross Blue Shield federal fee schedule · both	$163	$163	—	—	—	$163 – $163
4	Blue Cross Blue Shield federal fee schedule · outpatient	$163	$163	—	—	—	$163 – $163
5	Medica accessability fee schedule · both	$163	$163	—	—	—	$163 – $163
6	Medica medicaid fee schedule · both	$163	$163	—	—	—	$163 – $163
7	Blue Cross Blue Shield commercial fee schedule · both	$166	$166	—	—	—	$166 – $166
8	Blue Cross Blue Shield commercial fee schedule · outpatient	$166	$166	—	—	—	$166 – $166
9	Blue Cross Blue Shield medicaid fee schedule · outpatient	$166	$166	—	—	—	$166 – $166
10	Ucare ifp fee schedule · both	$166	$166	—	—	—	$166 – $166
11	Blue Cross Blue Shield medicaid fee schedule · both	$177	$177	—	—	—	$177 – $177
12	UnitedHealthcare commercial fee schedule · both	$368	$368	—	—	—	$368 – $368
13	Cigna commercial fee schedule · both	$749	$749	$65	9%	—	$684 – $814
14	Medica ma non-snp fee schedule · both	$799	$799	—	—	—	$799 – $799
15	Medica ma snp fee schedule · both	$799	$799	—	—	—	$799 – $799
16	Medica prime solution fee schedule · both	$799	$799	—	—	—	$799 – $799
17	Medica vantage fee schedule · both	$799	$799	—	—	—	$799 – $799
18	Medica bold fee schedule · both	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
19	Medica choice without / elect fee schedule · both	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
20	Medica city of st paul / essential uplan fee schedule · both	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
21	Medica choice with fee schedule · both	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k

Last updated: May 18, 2026

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See Diagnostic nitrogen-13 ammonia imaging dose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.