Breast MRI with contrast, one side 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

MRI w/cont, breast, uni

Maple Grove, MN

See all hospitals reporting HCPCS C8903 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $169 is 45% below the median hospital's median price ($305), higher than 4% of the 1,350 hospitals reporting HCPCS C8903. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS C8903 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 5 payers, 13 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.

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare medicare advantage fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
2	Medicaid medicaid fee schedule · outpatient	$99	$99	—	—	—	$99 – $99
3	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$102	$102	—	—	—	$102 – $102
4	Ucare mhcp fee schedule · outpatient	$115	$115	—	—	—	$115 – $115
5	Medicaid medicaid fee schedule · both	$146	$146	—	—	—	$146 – $146
6	Ucare ifp with fairview fee schedule · outpatient	$169	$169	—	—	—	$169 – $169
7	Ucare ifp fee schedule · outpatient	$225	$225	—	—	—	$225 – $225
8	Blue Cross Blue Shield medicaid fee schedule · outpatient	$325	$325	—	—	—	$325 – $325
9	Blue Cross Blue Shield federal fee schedule · outpatient	$536	$536	—	—	—	$536 – $536
10	Blue Cross Blue Shield commercial fee schedule · outpatient	$546	$546	—	—	—	$546 – $546
11	Ucare mhcp fee schedule · both	$786	$622	$340	55%	—	$149 – $932
12	Cigna commercial fee schedule · outpatient	$681	$681	$59	9%	—	$622 – $740
13	Blue Cross Blue Shield medicaid fee schedule · both	$893	$707	$386	55%	—	$169 – $1.1k

Last updated: May 18, 2026

Compare to other hospitals

See Breast MRI with contrast, one side pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.