Replacement hand rims 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

Man wc rim/projection rep ea

Maple Grove, MN

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Pricing by billing methodology

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $93 is 7% above the median hospital's median price ($87), higher than 83% of the 598 hospitals reporting HCPCS E0967. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E0967 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	Blue Cross Blue Shield commercial fee schedule · both	$47	$47	$38	82%	—	$9 – $85
2	Blue Cross Blue Shield federal fee schedule · both	$47	$47	$38	82%	—	$9 – $85
3	Blue Cross Blue Shield medicaid fee schedule · both	$51	$51	$42	82%	—	$9 – $93
4	Ucare mhcp fee schedule · both	$53	$53	$43	82%	—	$10 – $96
5	Medica ma non-snp fee schedule · both	$93	$65	$40	61%	—	$9 – $93
6	Medica ma snp fee schedule · both	$93	$65	$40	61%	—	$9 – $93
7	Medica prime solution fee schedule · both	$93	$65	$40	61%	—	$9 – $93
8	Medica vantage fee schedule · both	$93	$65	$40	61%	—	$9 – $93
9	Cigna commercial fee schedule · both	$86	$71	$44	62%	—	$10 – $125
10	Blue Cross Blue Shield federal fee schedule · outpatient	$79	$79	—	—	—	$79 – $79
11	Blue Cross Blue Shield commercial fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
12	Blue Cross Blue Shield medicaid fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
13	Medica accessability fee schedule · both	$85	$85	—	—	—	$85 – $85
14	Medica medicaid fee schedule · both	$85	$85	—	—	—	$85 – $85
15	Ucare ifp with fairview fee schedule · outpatient	$119	$98	$60	62%	—	$16 – $161
16	Medica bold fee schedule · both	$161	$113	$68	61%	—	$16 – $161
17	Medica choice without / elect fee schedule · both	$179	$125	$76	61%	—	$18 – $179
18	Medica city of st paul / essential uplan fee schedule · both	$179	$125	$76	61%	—	$18 – $179
19	UnitedHealthcare commercial fee schedule · both	$154	$126	$65	52%	—	$18 – $176
20	Medica choice with fee schedule · both	$185	$130	$79	61%	—	$19 – $185
21	Ucare ifp fee schedule · outpatient	$159	$130	$80	62%	—	$21 – $215
22	Cigna commercial fee schedule · outpatient	$241	$241	$21	9%	—	$220 – $262

Last updated: May 18, 2026

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See Replacement hand rims for manual wheelchair pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.