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
Brachytx, non-str, ha, i-125
Maple Grove, MN
See all hospitals reporting HCPCS C2634 →Price type
Fairview Maple Grove Surgery Center’s median price of $165 is 9% below the median hospital's median price ($182), higher than 26% of the 794 hospitals reporting HCPCS C2634. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 10 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 medicaid fee schedule · both | $93 | $93 | — | — | — | $93 – $93 |
| 2 | Ucare mhcp fee schedule · both | $93 | $93 | — | — | — | $93 – $93 |
| 3 | UnitedHealthcare medicare advantage fee schedule · outpatient | $165 | $165 | — | — | — | $165 – $165 |
| 4 | Blue Cross Blue Shield medicare advantage fee schedule · outpatient | $171 | $171 | — | — | — | $171 – $171 |
| 5 | Cigna commercial fee schedule · outpatient | $181 | $181 | $16 | 9% | — | $165 – $197 |
| 6 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 7 | Ucare ifp with fairview fee schedule · outpatient | $284 | $284 | — | — | — | $284 – $284 |
| 8 | Ucare ifp fee schedule · outpatient | $379 | $379 | — | — | — | $379 – $379 |
| 9 | Blue Cross Blue Shield federal fee schedule · outpatient | $450 | $450 | — | — | — | $450 – $450 |
| 10 | Blue Cross Blue Shield commercial fee schedule · outpatient | $458 | $458 | — | — | — | $458 – $458 |
Last updated: May 18, 2026
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