One-arm drive attachment for manual wheelchair 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

Whlchr att- conv 1 arm drive

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 $359 is 544% above the median hospital's median price ($56), higher than 85% of the 598 hospitals reporting HCPCS E0958. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E0958 at Fairview Maple Grove Surgery Center

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	$97	$97	$3	3%	—	$94 – $99
2	Ucare ifp fee schedule · outpatient	$129	$129	$4	3%	—	$125 – $132
3	Medica ma non-snp fee schedule · both	$277	$203	$104	51%	—	$56 – $277
4	Medica ma snp fee schedule · both	$277	$203	$104	51%	—	$56 – $277
5	Medica prime solution fee schedule · both	$277	$203	$104	51%	—	$56 – $277
6	Medica vantage fee schedule · both	$277	$203	$104	51%	—	$56 – $277
7	Blue Cross Blue Shield commercial fee schedule · both	$296	$296	$242	82%	—	$54 – $539
8	Blue Cross Blue Shield federal fee schedule · both	$296	$296	$242	82%	—	$54 – $539
9	Blue Cross Blue Shield medicaid fee schedule · both	$308	$308	$252	82%	—	$56 – $560
10	Ucare mhcp fee schedule · both	$317	$317	$260	82%	—	$58 – $577
11	Medica bold fee schedule · both	$498	$364	$189	52%	—	$97 – $498
12	Medica choice without / elect fee schedule · both	$553	$405	$210	52%	—	$108 – $553
13	Medica city of st paul / essential uplan fee schedule · both	$553	$405	$210	52%	—	$108 – $553
14	Medica choice with fee schedule · both	$573	$419	$217	52%	—	$112 – $573
15	Cigna commercial fee schedule · both	$517	$425	$265	62%	—	$63 – $749
16	Blue Cross Blue Shield federal fee schedule · outpatient	$496	$496	—	—	—	$496 – $496
17	Blue Cross Blue Shield commercial fee schedule · outpatient	$505	$505	—	—	—	$505 – $505
18	Blue Cross Blue Shield medicaid fee schedule · outpatient	$505	$505	—	—	—	$505 – $505
19	Medica accessability fee schedule · both	$514	$514	—	—	—	$514 – $514
20	Medica medicaid fee schedule · both	$514	$514	—	—	—	$514 – $514
21	UnitedHealthcare commercial fee schedule · both	$640	$529	$257	49%	—	$103 – $731
22	Cigna commercial fee schedule · outpatient	$1.4k	$1.4k	$126	9%	—	$1.3k – $1.6k

Last updated: May 18, 2026

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See One-arm drive attachment for manual wheelchair pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.