Nerve stimulator for tx n&v at Fairview Maple Grove Surgery Center

Maple Grove, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $125 is 21% above the median hospital's median price ($103), higher than 75% of the 420 hospitals reporting HCPCS E0765. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E0765 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 4 payers, 16 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	$60	$60	$49	82%	—	$11 – $109
2	Blue Cross Blue Shield federal fee schedule · both	$60	$60	$49	82%	—	$11 – $109
3	Medica ma non-snp fee schedule · both	$125	$87	$53	61%	—	$12 – $125
4	Medica ma snp fee schedule · both	$125	$87	$53	61%	—	$12 – $125
5	Medica prime solution fee schedule · both	$125	$87	$53	61%	—	$12 – $125
6	Medica vantage fee schedule · both	$125	$87	$53	61%	—	$12 – $125
7	Cigna commercial fee schedule · both	$115	$95	$59	62%	—	$14 – $168
8	Blue Cross Blue Shield federal fee schedule · outpatient	$101	$101	—	—	—	$101 – $101
9	Blue Cross Blue Shield commercial fee schedule · outpatient	$103	$103	—	—	—	$103 – $103
10	Blue Cross Blue Shield medicaid fee schedule · outpatient	$103	$103	—	—	—	$103 – $103
11	Medica bold fee schedule · both	$216	$152	$92	61%	—	$22 – $216
12	UnitedHealthcare commercial fee schedule · both	$187	$152	$79	52%	—	$21 – $214
13	Medica choice without / elect fee schedule · both	$240	$168	$102	61%	—	$24 – $240
14	Medica city of st paul / essential uplan fee schedule · both	$240	$168	$102	61%	—	$24 – $240
15	Medica choice with fee schedule · both	$249	$174	$106	61%	—	$25 – $249
16	Cigna commercial fee schedule · outpatient	$324	$324	$28	9%	—	$295 – $352

Last updated: May 18, 2026

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