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
Uvl pnl 2 sq ft or less
Maple Grove, MN
See all hospitals reporting HCPCS E0691 →Price type
Fairview Maple Grove Surgery Center’s median price of $1.3k is 6% above the median hospital's median price ($1.3k), higher than 75% of the 565 hospitals reporting HCPCS E0691. 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, 22 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 commercial fee schedule · both | $641 | $641 | $524 | 82% | — | $116 – $1.2k |
| 2 | Blue Cross Blue Shield federal fee schedule · both | $641 | $641 | $524 | 82% | — | $116 – $1.2k |
| 3 | Blue Cross Blue Shield medicaid fee schedule · both | $735 | $735 | $601 | 82% | — | $134 – $1.3k |
| 4 | Ucare mhcp fee schedule · both | $752 | $752 | $615 | 82% | — | $137 – $1.4k |
| 5 | Medica ma non-snp fee schedule · both | $1.3k | $932 | $565 | 61% | — | $133 – $1.3k |
| 6 | Medica ma snp fee schedule · both | $1.3k | $932 | $565 | 61% | — | $133 – $1.3k |
| 7 | Medica prime solution fee schedule · both | $1.3k | $932 | $565 | 61% | — | $133 – $1.3k |
| 8 | Medica vantage fee schedule · both | $1.3k | $932 | $565 | 61% | — | $133 – $1.3k |
| 9 | Cigna commercial fee schedule · both | $1.2k | $1.0k | $632 | 62% | — | $150 – $1.8k |
| 10 | Blue Cross Blue Shield federal fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | Blue Cross Blue Shield commercial fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | Medica accessability fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 14 | Medica medicaid fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $1.7k | $1.4k | $837 | 62% | — | $221 – $2.2k |
| 16 | Medica bold fee schedule · both | $2.3k | $1.6k | $981 | 61% | — | $231 – $2.3k |
| 17 | UnitedHealthcare commercial fee schedule · both | $2.0k | $1.6k | $841 | 52% | — | $228 – $2.3k |
| 18 | Medica choice without / elect fee schedule · both | $2.6k | $1.8k | $1.1k | 61% | — | $257 – $2.6k |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $2.6k | $1.8k | $1.1k | 61% | — | $257 – $2.6k |
| 20 | Ucare ifp fee schedule · outpatient | $2.2k | $1.8k | $1.1k | 62% | — | $294 – $2.9k |
| 21 | Medica choice with fee schedule · both | $2.7k | $1.9k | $1.1k | 61% | — | $266 – $2.7k |
| 22 | Cigna commercial fee schedule · outpatient | $3.5k | $3.5k | $300 | 9% | — | $3.2k – $3.8k |
Last updated: May 18, 2026
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