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
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Maple Grove, MN
See all hospitals reporting HCPCS E0920 →Price type
Fairview Maple Grove Surgery Center’s median price of $575 is 732% above the median hospital's median price ($69), higher than 91% of the 574 hospitals reporting HCPCS E0920. 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 | Ucare ifp with fairview fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 2 | Ucare ifp fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $311 | $311 | $255 | 82% | — | $57 – $566 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $311 | $311 | $255 | 82% | — | $57 – $566 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · both | $340 | $340 | $278 | 82% | — | $62 – $618 |
| 6 | Ucare mhcp fee schedule · both | $348 | $348 | $285 | 82% | — | $63 – $633 |
| 7 | Medica ma non-snp fee schedule · both | $575 | $404 | $242 | 60% | — | $62 – $575 |
| 8 | Medica ma snp fee schedule · both | $575 | $404 | $242 | 60% | — | $62 – $575 |
| 9 | Medica prime solution fee schedule · both | $575 | $404 | $242 | 60% | — | $62 – $575 |
| 10 | Medica vantage fee schedule · both | $575 | $404 | $242 | 60% | — | $62 – $575 |
| 11 | Cigna commercial fee schedule · both | $570 | $468 | $292 | 62% | — | $69 – $826 |
| 12 | Blue Cross Blue Shield federal fee schedule · outpatient | $523 | $523 | — | — | — | $523 – $523 |
| 13 | Blue Cross Blue Shield commercial fee schedule · outpatient | $532 | $532 | — | — | — | $532 – $532 |
| 14 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $532 | $532 | — | — | — | $532 – $532 |
| 15 | Medica bold fee schedule · both | $793 | $564 | $323 | 57% | — | $107 – $793 |
| 16 | Medica accessability fee schedule · both | $568 | $568 | — | — | — | $568 – $568 |
| 17 | Medica medicaid fee schedule · both | $568 | $568 | — | — | — | $568 – $568 |
| 18 | Medica choice without / elect fee schedule · both | $881 | $627 | $359 | 57% | — | $119 – $881 |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $881 | $627 | $359 | 57% | — | $119 – $881 |
| 20 | Medica choice with fee schedule · both | $912 | $649 | $372 | 57% | — | $123 – $912 |
| 21 | UnitedHealthcare commercial fee schedule · both | $1.0k | $830 | $428 | 52% | — | $117 – $1.2k |
| 22 | Cigna commercial fee schedule · outpatient | $1.6k | $1.6k | $139 | 9% | — | $1.5k – $1.7k |
Last updated: May 18, 2026
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