Wheelchair swing-away mounting hardware 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

W/c manual swingaway

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 $159 is 600% above the median hospital's median price ($23), higher than 87% of the 604 hospitals reporting HCPCS E1028. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E1028 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	$36	$36	$8	21%	—	$28 – $44
2	Ucare ifp fee schedule · outpatient	$48	$48	$10	21%	—	$38 – $58
3	Blue Cross Blue Shield medicaid fee schedule · both	$93	$93	$76	82%	—	$17 – $170
4	Ucare mhcp fee schedule · both	$96	$96	$79	82%	—	$17 – $175
5	Medica ma non-snp fee schedule · both	$159	$112	$67	60%	—	$17 – $159
6	Medica ma snp fee schedule · both	$159	$112	$67	60%	—	$17 – $159
7	Medica prime solution fee schedule · both	$159	$112	$67	60%	—	$17 – $159
8	Medica vantage fee schedule · both	$159	$112	$67	60%	—	$17 – $159
9	Blue Cross Blue Shield commercial fee schedule · both	$114	$114	$93	82%	—	$21 – $207
10	Blue Cross Blue Shield federal fee schedule · both	$114	$114	$93	82%	—	$21 – $207
11	Cigna commercial fee schedule · both	$158	$130	$81	62%	—	$19 – $229
12	Medica bold fee schedule · both	$215	$153	$88	57%	—	$29 – $215
13	Medica accessability fee schedule · both	$156	$156	—	—	—	$156 – $156
14	Medica medicaid fee schedule · both	$156	$156	—	—	—	$156 – $156
15	Medica choice without / elect fee schedule · both	$239	$170	$97	57%	—	$33 – $239
16	Medica city of st paul / essential uplan fee schedule · both	$239	$170	$97	57%	—	$33 – $239
17	Medica choice with fee schedule · both	$247	$176	$101	57%	—	$34 – $247
18	Blue Cross Blue Shield federal fee schedule · outpatient	$190	$190	—	—	—	$190 – $190
19	Blue Cross Blue Shield commercial fee schedule · outpatient	$194	$194	—	—	—	$194 – $194
20	Blue Cross Blue Shield medicaid fee schedule · outpatient	$194	$194	—	—	—	$194 – $194
21	UnitedHealthcare commercial fee schedule · both	$276	$227	$114	50%	—	$37 – $316
22	Cigna commercial fee schedule · outpatient	$443	$443	$38	9%	—	$404 – $481

Last updated: May 18, 2026

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